VOA [Voice of America] Africa : September 18, 2018 01:00PM-02:00PM EDT
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VOA [Voice of America] Africa : September 18, 2018 01:00PM-02:00PM EDT
- Publication date
- 2018-09-18
- Topics
- Radio Program, Nobel Peace Prize, Global health, Development, Millennium Development Goals, G20 nations, Chief executive officers, Population, Health, National supreme courts, Death, United Nations, Demography, Epidemiology, Actuarial science, International organizations of Europe, Macroeconomics, Healthcare quality, International trade, Economics terminology, Medical statistics, American chief executives, Housing, Population ecology, Business terms, Human geography, Food science
- Contributor
- VOA [Voice of America] Africa
- Language
- English
Closed captions transcript:
00:00:00
The Syrian defense both the Israeli
military and Israel's foreign ministry
00:00:05
declining to comment on the Russian account
of what took place in the skies of
00:00:09
northwestern Syria on Monday I'm jealous
of that as my china is promising to take
00:00:14
countermeasures against us President Donald
Trump's plans to impose an additional
00:00:18
$200000000000.00 worth of tariffs on Chinese
imports even though the pressure China
00:00:22
into substantial change changes will have
to come because they are seen as being
00:00:27
good for the development of the Chinese
economy and that's mats Harben the
00:00:31
president of European Union Chamber of
Commerce in China the new duties which take
00:00:35
effect next Monday September 24th will
begin at 10 percent and rise to 25 percent
00:00:40
in January of next year the terrorists
will be on posed on that thousands of
00:00:44
consumer goods including electronics food
tools and housewares the leaders of North
00:00:50
and South Korea have begun the 1st of 3
days of negotiations in Pyongyang aimed at
00:00:55
reaching an eventual agreement on the nuclear
reservation The Big Question at this
00:00:59
summit is whether or not to is serious
about denuclearization and it may set the
00:01:04
stage for a 2nd summit with u.s.
00:01:06
President Donald Trump according to Moon's
aides Trump has asked the South Korean
00:01:11
president to be chief negotiator between
himself and Kim after canceling
00:01:15
a trip to Pyongyang by
Secretary of State my pump
00:01:18
a last month that's Reuters Grace
Lee reporting and this is v.o.a.
00:01:23
News. The Senate Judiciary Committee will
hold public hearings next week to hear
00:01:28
from u.s.
00:01:29
Supreme Court nominee Brett Kavanaugh and
the woman who's accused him of assaulting
00:01:33
her 3 decades ago while the 2
were in high school but his a.p.
00:01:37
Washington correspondent soccer Madonna
reports President Trump is standing by his
00:01:41
Supreme Court nominee just days ago
Kavanagh's confirmation appeared all but
00:01:45
certain there is some doubt now that the
president's ruling out withdrawing the
00:01:50
judge's name next question What
00:01:52
a ridiculous question he's still backing
Cavanaugh's character one of the finest
00:01:56
people that I have a note of but in
00:01:58
a sign of just how politically perilous
the Kavanaugh allegation is in the me to
00:02:03
age the president's defense is somewhat
muted say he wants the Senate to go through
00:02:08
a complete process and hear everybody out
before eventually confirming his 2nd High
00:02:13
Court pick as it takes a
little delay will take
00:02:15
a lot of the lead solder Megali at the White
House President Trump has ordered the
00:02:19
Justice Department to declassify documents
related to the investigation into
00:02:23
Russian election meddling White House
spokeswoman Sara Sanders says the information
00:02:28
to be made public includes f.b.i.
00:02:30
Surveillance warns of a former Trump
campaign advisor and reports of f.b.i.
00:02:34
Interviews with a high
ranking official at the u.s.
00:02:37
Justice Department Mr Trump has
consistently said some of the f.b.i.
00:02:40
And Justice Department reports are
biased and tainting the independent
00:02:45
investigation into whether his campaign
collaborated with Russia to swing the 2016
00:02:50
election in his favor an Iranian government
aligned group of hackers launched
00:02:55
a major campaign targeting a Mideast
energy firms and others ahead of u.s.
00:02:59
Sanctions on Iran that's according to
00:03:01
a cyber security firm it says
while the firm Fire Ice says
00:03:06
a so-called spearfishing e-mail campaign
only involves hackers stealing information
00:03:10
from infected computers
but it also involves
00:03:13
a similar type of malware
previously used to inject
00:03:15
a program that destroyed tens of thousands
of terminals in Saudi Arabia the
00:03:21
divisions between member states threaten
to derail European Union so. Dawn
00:03:25
migration scheduled Wednesday in the
Austrian city of Salzburg in ri Ridgwell
00:03:30
reports reveal way even within Europe's
political alliances on the right and left
00:03:35
there are growing divisions over Migration
says analyst Leopold Traugott of policy
00:03:41
analyst group Open Europe the summit will
most likely going to portray it as the
00:03:46
the battle between on the one hand
00:03:47
a progressives want to keep you up open
want to continue to help asylum seekers and
00:03:52
on the other hand the hardliners the
populists who want to close Europe down and
00:03:55
create
00:03:56
a fortress you up but again division isn't
that clear cut at London's insistence
00:04:01
Britain's exit from the European Union just
6 months away will also be discussed in
00:04:07
Ridgwell reporting for really News
I'm Tommy McNeill the way news.
00:04:30
Today is Tuesday September 18th 2018 and
this is big Always international edition
00:04:36
I'm Jim Birch hell for Sarah Williams in
Washington coming up Russia is blaming
00:04:42
Israel for the loss of
00:04:43
a military plane off Syria to secure
external borders the front line
00:04:49
countries of the European Union need our
support the new dollar solidarity but on
00:04:54
the other hand they also have to accept
to support them to help of the European
00:05:00
Union the European Union prepares for
00:05:03
a migration summit on Wednesday Also ahead
rescuing the floor legged victims of
00:05:08
Hurricane Florence It's all coming up on
today's international edition. Russia says
00:05:14
should Syria shot down one of its military
planes but lays the blame for the deaths
00:05:19
of the 15 people on board with Israel a.p.
00:05:22
Correspondent Charles Dillard Esma reports
the Russian defense ministry says the
00:05:27
act was brought down by
00:05:28
a Syrian missile over the Mediterranean
killing all 15 people on board Moscow
00:05:33
blames Israel for the crash saying the plane
was caught in the crossfire as thought
00:05:38
is ready fighters attacked targets in
northwestern Syria an official says the
00:05:43
Israeli pilots had been using
the Russian aircraft as
00:05:45
a shield and had pushed it into the line
of fire of the Syrian defense both the
00:05:50
Israeli military and Israel's foreign
ministry declining to comment on the Russian
00:05:55
account of what took place in the skies of
northwestern Syria on Monday I'm jealous
00:06:00
of that as my Meanwhile Russian
and Turkey have agreed to create
00:06:04
a new demilitarized zone separating pro
Syrian government and opposition forces for
00:06:09
control of Northwest lip Robyn's
bordering Turkey it forestalls for now
00:06:14
a planned Russian backed assault on the
last major rebel stronghold in Syria that
00:06:19
is opposed by Turkey Russian President
Vladimir Putin said in his talks with his
00:06:24
Turkish counterpart Recep
Tayyip Erdogan on it was agreed
00:06:28
a contact line would be created by October
15th facilitating the withdrawal of what
00:06:33
he called radically minded militants alone
pioneer directs the Middle East Studies
00:06:38
Center at the Ohio State University he
told Beale ways Victor Beattie this 3rd
00:06:44
meeting between the 2 leaders is a
direct result of the Russian sponsored
00:06:48
a stun your process named after the cause
00:06:50
a capital where Moscow has hosted Syrian
peace talks. So apparently is what Turkey
00:06:57
and Russia have decided that that should
read no assault on Hadley because the
00:07:02
United Nations the United States and many
other Europeans and Muslim countries have
00:07:07
protested that that that would be imminent
when it got in disaster because look at
00:07:13
live that are not only some terrorist groups
like and others active but it's about
00:07:19
3000000 civilians that are living there
so that would bitterly and this is one
00:07:23
reason why the key was against that this
assault from the beginning and Iranians
00:07:27
Iran and Russia which is supporting the
Bashar Assad government and they were keen
00:07:32
to probably make this attack and then finally
to move the terrorists from that area
00:07:38
but finally they have learned that
it's not that easy there would be
00:07:41
a large number of the civilian casualties
so probably they have come to their
00:07:45
senses and now they have decided though
that would be about 15 to 20 kilometer away
00:07:50
from the city so that it would diminish
what I was on and that demand televised on
00:07:54
will be will probably somehow protected
by Turkish and by the Sion forces that is
00:08:00
one thing that we did not see in the news
that is nothing about Iran that what the
00:08:03
Iranian supporting forces would
be doing and so they're totally
00:08:08
a lost if it marginalized it on here and
it was probably deliberate in the part of
00:08:13
Turkey and Syria that Iran is not
00:08:15
a party to this somehow to keep reason iron
quiet and Americans quite so maybe that
00:08:20
was the reason that they just got not
mentioning much about it on need the Russian
00:08:24
President Putin nor Turkey's leader there
to want explained how they plan to
00:08:29
differentiate quote unquote radically minded
rebels from other anti Asada groups in
00:08:35
lib Yes the problem here is that in Atlanta
and as in many other cities so it is
00:08:41
not only that radical groups such as
ISIS I'll call you The Eleanor there are
00:08:47
civilians and there are many other former
military officers what against the Bashar
00:08:51
al Assad regime so they're
not a position that is
00:08:53
a Free Syrian Army. There are some critics
groups that were also opposing the
00:08:57
Charlotte sub government so it's not only
that the terrorists are in control of lip
00:09:03
there are many other groups so who are
opposing the Bashar al Assad government and
00:09:08
so so for that reason that thinking that
it would be better hand to hand combat if
00:09:11
they would go in and that
would probably it is all that
00:09:14
a very large number of civilian casualties
but by the way we have to keep things in
00:09:18
perspective of almost
00:09:19
a 24 hour producer 5000000 Syrian estimated
Syrian population 5000000 of them have
00:09:26
become refugees outside Syria and 6000000
are internally displaced and about half
00:09:31
a 1000000 Syrians have been killed since
2011 will it lib remain outside of Syria
00:09:38
or will eventually be brought into the
Syrian fold but that's what the city is
00:09:43
counting on time however Mustafa sorry
00:09:46
a member of the rebel Free Syrian Army told
Reuters Tuesday the Russia Turkey deal
00:09:51
and President Bashar al Assad's hope of
regaining full control of it live he said
00:09:56
it will provide a springboard for
00:09:58
a political transition that will end
the Syrian leaders authoritarian rule.
00:10:07
Among the top stories in the world the most
powerful tropical storm of the year to
00:10:11
date left
00:10:12
a swath of possibly long term damage
after killing more than 60 people in the
00:10:17
Philippines in another 4 in China thousands
of parents are withdrawing their
00:10:21
children from schools in the English
speaking regions of Cameroon after armed men
00:10:26
attacked and wounded dozens of
people Iranian media is reporting
00:10:30
a bus collided with
00:10:31
a tanker in central Iran killing at least
21 people and injuring nearly 2 dozen
00:10:36
other u.n.
00:10:37
Investigators accuse the me and Maher
military of committing the most serious
00:10:42
crimes under international law expanded
coverage of these stories and more are on
00:10:47
the v.o.a. News dot com
website and on our v.o.a.
00:10:50
Mobile app this is the
international edition. This is.
00:11:00
As
00:11:00
a team of astronomers were looking beyond
Pluto put the mysterious planet 9 they wound
00:11:05
up discovering
00:11:06
a dozen new moons orbiting Jupiter the
astronomers call the 11 of them normal outer
00:11:12
moons but there is also one they label
as an oddball the oddball moon has
00:11:16
a pro-grade orbit which means it circles
the planet in the same direction but
00:11:21
unlike Jupiter's other pro-grade moons the
New Moon's orbit processes the path of
00:11:26
others orbiting in retrograde shortly
opposite direction setting up the possibility
00:11:32
of
00:11:32
a collision team leader Scott Sheppard from
the Carnegie Institution for science calls
00:11:37
the oddball orbit and
unstable situation and that
00:11:40
a head on collision would quickly break the
objects apart and grind them down into
00:11:45
dust the sky every of the 12 objects
brings the total of known Jovian moons to
00:11:50
$79.00 I'm Vio always Rick Penta Layo.
00:11:58
This is video ways international edition
South Korean president in is in Pyongyang
00:12:04
for the 1st of 3 days of negotiations with
North Korean leader Kim Jong un v.o.a.
00:12:10
Steve Miller is covering the summit from
Seoul he tells us about the arrival
00:12:14
reception at the airport are actually
pretty interesting sign to be. At the
00:12:21
airport tarmac was laid out were red
carpet and surrounding the red carpet or
00:12:28
air naval and army forces from the Korean
People's Army and then also there was
00:12:35
a military band there and then also on
the periphery there were. North Koreans
00:12:41
standing there than anywhere and pressed
black suits and women wearing traditional
00:12:47
clothes called. Summer carrying flowers
for the North Korean flag and.
00:12:54
Some are actually carrying the unified
Korean peninsula Flag Service all during the
00:12:58
20 some John Winter Olympics when President
Moon's plane landed taxi to around and
00:13:04
then about 10 am the doors
open prior to that it was dead
00:13:11
silence on the tarmac and then the military
band played and that's when Kim Jong un
00:13:16
and his wife who sold through.
Departure gates and walked out on
00:13:24
that red carpet and waited for Kim.
President Moon and his wife to descend the
00:13:29
staircase where they met with hugs and
handshakes what do we know about the 1st day
00:13:34
of talks with the schedule was really jam
packed so following that welcome ceremony
00:13:40
at the airport and separate luncheons at
the guesthouse. Then kind of split apart
00:13:47
and started their Korean summit so President
moon and North Korean leader Kim Jong
00:13:52
un started their summit
00:13:53
a little bit later than expected with most
or 333rd 15 minutes late you know they
00:13:58
actually had held in the headquarters of
the Central Committee for the North Korean
00:14:02
Workers Party who were Kim's offices and
as the 2 Korean leaders began their
00:14:07
session Kim Jong un think President Clinton
for his efforts to improve relations
00:14:12
and the South Korean leader also think
his counterpart for a decision to open
00:14:18
a new era of peace on the peninsula Now
while that meeting was taken place the
00:14:24
wives. Actually had their own mini summit
their own day away they went to a q.
00:14:31
Children's Hospital and then on to the Kim
Wong University of music because they
00:14:37
both have a music background and they
were accompanied by a composer and
00:14:41
a couple of key pop singers on their trip
when the did nuclearization of the Korean
00:14:45
Peninsula is one of the key topics at the
summit as the South Korean delegation
00:14:50
discussed any progress on the issue now
that's one thing that really hasn't been
00:14:54
forthcoming from the reports from the
summit and not clear whether that would be
00:14:59
with one more round of talks scheduled
for tomorrow during Tuesday's afternoon
00:15:04
press briefing the press secretary for the
president said Ancram how much progress
00:15:09
would actually be made on the nuclearization
talks and that it was necessary to
00:15:14
wait until Wednesday's talks
concluded and if there would be
00:15:18
a joint press statement made in the
afternoon to announce any kind of agreement
00:15:24
that would be made but if there are any
agreements made it's also unclear how much
00:15:29
detail we would get because we were
informed that present moon j.n.
00:15:34
Would speak directly to u.s. President
Donald Trump on the sidelines of the u.n.
00:15:38
General Assembly to relay any kind of
concessions or any kind of information that
00:15:44
would make as a result of this summit
with Steve Miller you've been doing
00:15:48
a great job covering the summit for
00:15:49
a single look forward to talking to you
tomorrow Steve Miller in Seoul thanks so
00:15:54
much my pleasure elsewhere in Asia President
Trump impose tariffs on an additional
00:15:59
$200000000000.00 worth of Chinese
goods coming into the u.s.
00:16:03
Continuing an ongoing trade war between the
2 countries China says it has no choice
00:16:08
but to retaliate a.p.
00:16:10
Correspondent Julie Walker reports in the
latest trade war tips for tat China says
00:16:15
it will swiftly retaliate against American
exports a move that stands to hurt u.s.
00:16:20
Farmers another u.s.
00:16:21
Company selling products to China this
after the top administration said. We'll
00:16:26
begin taxing 200000000000 in Chinese goods
Starting Monday the target list is huge
00:16:32
ranging from purses to read 10 mats to
burglar alarms to bicycles Trump says the
00:16:37
tariffs are designed to
force China to change
00:16:39
a range of unfair trade practices the 2
countries already had import taxes on
00:16:44
50000000000 worth of each other's
products I'm Julie Walker in Europe deep
00:16:49
divisions between member states threaten
to derail the European Union summit on
00:16:53
migration scheduled for Wednesday in the
Austrian city of Salzburg we get the story
00:16:58
from Henry Ridge well in London the.
00:17:07
60 African migrants were plucked from
the Mediterranean moments before their
00:17:12
inflatable boat sank beneath the waves in
00:17:15
a perilous rescue Saturday by Spanish
authorities it is the latest of dozens of
00:17:21
such operations this year on the so-called
western Mediterranean route which now
00:17:26
accounts for more than half of all illegal
crossings into the European Union most
00:17:31
of the migrants are from Guinea Mali and
Morocco overall migrant numbers into
00:17:37
Europe are down 40 percent year on year
but migration continues to dominate e.u.
00:17:43
Policy debate visiting Paris before
Wednesday's Salzburg summit host Austrian
00:17:49
Chancellor Sebastian curds Monday called
for an enhanced role for the e.u.
00:17:55
Border Agency Frontex across the blocks
external frontiers to secure external
00:18:02
borders the front line countries of the
European Union need our support the new
00:18:07
dollar solidarity but on the other hand
they also have to accept the support and
00:18:12
the help of the European Union that was
00:18:16
a thinly veiled message for frontline
states including Italy and Hungary whose
00:18:22
governments have repeatedly blamed the
European Union for the. Migrant crisis
00:18:27
speaking to lawmakers Monday Hungary's
prime minister Viktor Orban offered
00:18:32
a blunt response has your bunny
of doing mean to but. He says
00:18:38
Hungary is better
00:18:39
a border protection than anyone else in
Brussels or some international organization
00:18:45
therefore Hungary will not give up the
rights to protect its borders even within
00:18:51
Europe's political alliances on the right
and left there are growing divisions over
00:18:56
Migration says analyst Leopold Tragos
of policy analyst group Open Europe the
00:19:02
summit will most likely
going to portray it as
00:19:04
a battle between on the one had the
progressives want to people who are open who
00:19:08
want to continue to help asylum seekers
on the other hand the hardliners the
00:19:12
populists who want to close
Europe down and create
00:19:14
a fortress Europe but again the division
isn't that clear cut at London's
00:19:19
insistence Britain's exit from the European
Union just 6 months away will also be
00:19:25
discussed the International Monetary Fund
warned Monday that failure to strike an
00:19:30
exit deal would entail in its words
substantial costs for Britain's economy Henry
00:19:36
Ridgwell view a news London visit v.o.a.
00:19:39
News dot com for more on this and all of
today's latest news I'm Jim Breuer tell
00:19:44
and you're listening to
international edition on veal way.
00:19:51
You love music How about make
Shelton and Carrie Underwood
00:19:55
a Merle Haggard in the Ritalin experience
the best in country music on country hits
00:20:00
USA I bring you some countries rock out
00:20:03
a little hillbilly contemporary war with
the death of entertainment news doing so
00:20:08
join me for country hits USA on
dealing with the Voice of America.
00:20:21
Take your pick what's on television log
onto the Internet or listen at right. On
00:20:26
the radio below I am sick of the host
those to talk Africa from the Voice of
00:20:31
America each one is then I will put you in
touch with newsmakers experts as the un
00:20:37
I talk about the most important social and
political issues in Africa say I'll be
00:20:43
waiting for your corner Wednesday night
straight talk Africa from the Voice of
00:20:47
America.
00:20:55
And this is an international edition the
remnants of Hurricane Florence that struck
00:21:00
the Southeastern u.s.
00:21:01
Is now soaking areas in the northeast
with heavy rain as forecasters warn of
00:21:06
widespread flooding threats the latest
warnings accompany the flooding in North
00:21:10
Carolina where Florence hit as
00:21:12
a Category one hurricane last week and
dropped up to 90 centimeters of rain as it
00:21:17
lingered for several days at least 32 deaths
are blamed on the storm people aren't
00:21:22
the only ones suffering from the storm
many household pets were trapped in
00:21:26
crumbling shelters now volunteers and
donations have begun pouring in for them
00:21:31
a rush are both soggy reports from North
Carolina. Dry Goods and other pet supplies
00:21:38
are just some of the donations pouring
in from people who want to help dogs and
00:21:42
cats in rural parts of North Carolina since
Hurricane Florence covered much of the
00:21:47
state with record setting rainfall all in
tears say each one of the stacks of dry
00:21:52
food weighs more than 450 kilograms. Donations
mostly sourced through Facebook help
00:21:58
deliver the federal marriage care for the
dog sheltering at the North Carolina
00:22:01
State Fairgrounds I want of people we saw
this to Katrina they're not leaving their
00:22:07
houses and less they can take their jobs
with them for many people the jobs are all
00:22:12
they have. People donated mostly
cleaning supplies and water while being
00:22:17
a chef Jose Andres and his nonprofit world
center kitchen help feed volunteers but
00:22:22
it's just wrong to say it's teamwork you
know I've got people that probably never.
00:22:26
In the cage before I've got people have
never dog walked the dog before but it's
00:22:30
just too nice to do one where the natives.
Here say much of these goods are going
00:22:35
to some of the most rural parts of the state
where people may not have electricity
00:22:39
or clean water area residents went shopping
just to donated all everything on the
00:22:44
lists so dog food blankets
towels paper towels.
00:22:51
Wipes and Bolz. The more than 100 animals
at this makeshift shelter will be matched
00:22:57
with foster care homes if they're not
claimed by owners of the next door Meeks
00:23:01
unlikely volunteer say as they were already
abandoned meaning these animals are now
00:23:05
more likely than ever to find
permanent homes rusher beside
00:23:09
e Bay only news Raleigh
North Carolina in Baltimore
00:23:12
a free after school music program called
orchids is being used as an instrument of
00:23:17
change for children in underprivileged
neighborhoods the program sponsored by the
00:23:21
Baltimore Symphony Orchestra
aims to create social change in
00:23:25
a city where about 40 percent of the
population live in poverty via ways Deborah
00:23:30
block reports. Here at the seed school in
00:23:37
Baltimore 15 year old me
Murat Ansen concentrates on
00:23:41
a piece of classical music for the past
4 years Newman has been taking for the
00:23:46
after school group violin lessons through
for kids and also happy because I know
00:23:54
I know like I can do different styles. Her
teacher aren't him working career and
00:24:01
study violin at
00:24:02
a prestigious Peabody Institute in
Baltimore Kim says Minas determination has
00:24:08
helped make her
00:24:09
a top student. Given someone
like me Mom the confidence. And
00:24:16
the practice to be in
front of people to have
00:24:18
a skill set that you can be proud of. Name
is musical journey started when she and
00:24:25
her mother Susan Johnson watched
00:24:27
a concert in Baltimore that showcased more
kids not knowing that one day Nima would
00:24:33
be onstage herself with the mostly
African-American girls. And them elbow
00:24:39
a name and number one what you
should be doing. Name a had
00:24:45
a hard start in life with
both parents in prison as
00:24:49
a result Johnson became both Guardian
and mother to her. She's helped me
00:24:55
a lot she is my number one
supporter she 1st says I made
00:24:58
a practice pushes me and like if I wasn't
I don't think I would like really this
00:25:05
this and good in playing. Thanks to her
free violin lessons I was accepted into the
00:25:12
Baltimore school for the Arts where she
now studies music. She hopes to earn
00:25:18
a college degree in music so she could teach
other black children like herself how
00:25:24
to live their lives on
00:25:25
a high note. It doesn't matter what
race you are. You can find music.
00:25:33
Is if it's your passion is it your
passion. Deborah block you're
00:25:39
a New Baltimore. This is
video ways international
00:25:46
edition
00:25:47
a Japanese entrepreneur has signed up to
be the 1st passenger that privately owned
00:25:52
space x. Will fly to the moon speaks
00:25:54
a founder and chief executive officer on
Musk introduced USACA miles Arwa during an
00:26:00
event Monday evening for me these projects
these very meaningful I thought long on
00:26:07
the hot about the how very enable it to
be to become that fast private bus engine
00:26:13
to go to the moon at the same time
I thought. I can give back to.
00:26:21
The holidays can contribute to the peace
this is my lifelong dream the Japanese
00:26:27
billionaire will orbit the moon aboard the
company's big fell can rock it in 2023
00:26:33
well the stars were out in Hollywood last
night as they celebrated television's
00:26:37
biggest night the Emmy Awards a.p.
00:26:40
Entertainment editor Oscar
Wilde's Gabriel has
00:26:43
a wrap up of the key winners and losers
even after taking off the year the best
00:26:48
drama winner is Game of Thrones the series
has won another Emmy for Best Drama
00:26:53
picking up where it left off the year
before last the show was not made eligible
00:26:57
for last year's Emmys and it quickly
snatched back the mantle that was won by The
00:27:01
Handmaid's Tale Peter Dinklage picks up
his 3rd Emmy for the show on the comedy
00:27:06
side Amazons the marvelous Miss May's own
becomes the 1st streaming series to win
00:27:10
Top show honors over all the promise of
diversity winning the night ended up being
00:27:14
unfulfilled While the field of nominees was
diverse the list of winners not so much
00:27:20
Gabriel and you've been listening to
international edition you can find us at
00:27:24
v.o.a. News dot com or like
us on Facebook at v.o.a.
00:27:28
No thanks for joining us and thanks to our
director Patrice Martin and our engineer
00:27:33
Nash one color
00:27:33
a m Jim Birch held in Washington.
Thanks for listening. This
00:28:55
is the host of the straight talk Africa
on the next straight talk Africa the
00:29:00
African capacity building foundation the
Africa Union's specialized agency for
00:29:06
capacity development has coordinated
programs worth $700000000.00 since
00:29:12
1991 the African capacity building
foundation on the next street talk Africa in
00:29:19
one of the day that 830 u.t.c.
00:29:21
It right here on Africa.
00:29:33
Good evening everyone I mean on the do
welcome to health chat the beat and Melinda
00:29:38
Gates Foundation just released its 2018
goalkeepers report it is an initiative
00:29:44
launched in 2017 to track progress on
the sustainable development goals or as
00:29:51
a collection of 17 global goes said by the
United Nations Development Program to be
00:29:56
attended by the year 2030 according to
the United Nations the as. A universal
00:30:03
call to action to end poverty protect the
planet and ensure that all people enjoy
00:30:09
peace and prosperity among other things I
spoke to Melinda Gates co-founder of the
00:30:14
Bill and Melinda Gates Foundation and
asked her why it was important to publish
00:30:20
such a report many in the gates
00:30:22
a welcome to the Voice of America thank you
so much for joining us today thank you
00:30:26
I'm glad to be here the Bill and
Melinda Gates Foundation release
00:30:30
a report the Bill and Melinda
Gates 2018 goalkeeper's
00:30:35
a report that has just been released and
it's an initiative launched in 2017 to
00:30:41
track progress on the sustainable development
goals why was it important to publish
00:30:47
such
00:30:47
a report Well these goals that were set by
the member nations of the United Nations
00:30:53
really are a roadmap in
00:30:55
a blueprint for the world on if we make
these investments we can really make
00:31:00
progress in the world but we
felt it was important to publish
00:31:03
a report every year so that we
hold ourselves accountable as
00:31:07
a world to these goals and we can actually
measure year by year is the world making
00:31:13
progress so then what is the value added
of the report as the global community ends
00:31:18
to achieve the. Is it to measure essentially
how we making progress. Yes the
00:31:25
report helps us show are we making progress
and it also shines light on countries
00:31:31
that have made certain investments like
Brazil on nutrition or Vietnam on education
00:31:36
to say these are exemplars for the world
they've made incredible progress by the
00:31:41
very specific investments they've made and
these are road maps for other countries
00:31:46
to then follow Now this is the 2nd
publication of the report what did you find
00:31:52
significant this year what were some of the
significant finding one of the biggest
00:31:57
findings that we wanted to highlight that
I think we felt many people didn't know
00:32:02
was how young the population is an Africa
60 percent of the population is under the
00:32:08
age of $25.00 and so if the world makes
the right investments in health and
00:32:14
nutrition and education this is an
amazing generation that has unbelievable
00:32:21
ingenuity and if we make those investments
we give them leadership opportunities to
00:32:26
lift their societies and their countries
up and we want to make sure that message
00:32:30
gets out to the world let's make these
investments so that they can change their
00:32:35
whole country so then clearly investment
is very critical in terms of caring this
00:32:42
young population in the future for
economic growth what are your thoughts the
00:32:47
importance of young people in Africa's
development as we look to achieving the
00:32:52
sustainable development goals Well the
young people often are have the new ideas
00:32:58
they have vibrancy they're
energetic they see things in
00:33:02
a different way and if we make sure that
we give those leaders the opportunities
00:33:07
they will seize them and they will make
sure that things change in their countries
00:33:12
some perfect examples are some of the young
women I'm meeting in the health sector
00:33:17
they're saying we're realizing that if we
give access to contraceptives to young
00:33:22
women that is women who come in who. Are
161718 years old and we're not biased
00:33:28
about how we treat them oh my gosh they
can space the birth of their children
00:33:32
attend school and stay in university
we know that those investments and
00:33:37
contraceptives that when women have access
around the world it lifts up their whole
00:33:43
family and it lifts up whole economies and
so I am inspired by these young leaders
00:33:47
who say I'm going to work on taking bias
out of the health care system that's just
00:33:51
one example of many and you mentioned
contraceptive it's definitely part of the big
00:33:57
picture as we look at
Family Planning Why is that
00:34:00
a key aspect of development because if you
look at all the economies who have made
00:34:05
the transition from low to middle to
high income countries every one of them
00:34:11
allowed voluntary access to contraceptives
to women because we know if men and
00:34:17
women can spend
00:34:18
a slave burst their children and have them
if and when they want to have them there
00:34:23
are more opportunities than for those
children and for their families girls can
00:34:28
stay in school they can get their daughters
educated they can feed their children
00:34:32
once they are fed well fed nourished
educated those people create amazing
00:34:38
opportunities and new jobs in the economy
but you can't make that economic
00:34:42
transition without that is one of the
pillars that you have to put in place is
00:34:47
voluntary access to contraceptives it's not
the only but it's one of the key levers
00:34:52
what key states. When discussing
family planning to adolescent girls of
00:34:58
reproductive age versus
00:35:00
a woman what are some of the
strategies Well 1st you have to teach
00:35:04
a young woman about her body right about
how her reproductive organs work her
00:35:10
sexuality and then you have to tell her
about methods that might work for her as
00:35:14
a young teenage girl we know
that over the course of
00:35:17
a woman's life what she chooses will be
different at different times based on what
00:35:22
her needs are you also have to take
00:35:24
a. A lot of myths that they've heard and
to counsel them about side effects and
00:35:28
where to go if they're having problems all
of those are important steps but they're
00:35:33
all completely possible we've seen them
country after country and literally if you
00:35:38
start educating women and you give them
access to contraceptives it only takes one
00:35:41
generation till they take them up your
travel to Kenya earlier this year would you
00:35:46
please share with us that experience in
terms of talking to young women and girls
00:35:50
and addressing their needs Well I've
talked to young women and girls all over
00:35:55
Africa for many years and I would say in
Kenya one of the most exciting things I
00:35:59
saw this year were actually to be honest
the governors the young leaders who are in
00:36:03
power now in Kenya those governors are
interested in making the right investments
00:36:09
in their states in Kenya and that includes
investments in nutrition investments in
00:36:14
the doing the right things in clinics and
in immunizations but one of the most
00:36:18
exciting things that they told me is how
interested they are in contraceptives for
00:36:22
young girls and making sure they have
access that was something I had never heard
00:36:26
from the leadership in Kenya before then
when I also met with President Kenyatta
00:36:31
one of his 4 pillars that he's putting
in place is making sure that people have
00:36:36
great access to health
care so when you see
00:36:39
a government that is making investments in
health and making the right investments
00:36:44
that's the kind of leadership we want to
see all over the world and those are some
00:36:48
of the kinds of things that we highlight
in this goalkeeper's report you are
00:36:52
definitely
00:36:52
a firm believer in empowering women and
girls and we've been following your work
00:36:56
over the years when you look at where we
are now we just talked about access to
00:37:00
contraceptive and family planning what
do you see as some of our other priority
00:37:06
areas in developing countries especially
for going to countries as the world looks
00:37:11
to achieving the G.'s in 2030 sure in
countries the investments that need to be
00:37:17
made are in the health and education and
in the agricultural sector if you make
00:37:24
a. Vestments and all 3 of those areas
so in health making sure that number of
00:37:29
childhood deaths go down by vaccinating
children making sure people have access to
00:37:34
malaria bed net making sure they have
access to contraceptives good nutrition and
00:37:38
counseling around nutrition in
education we've made as a world
00:37:43
a commitment in the previous set of goals
to make sure kids had access to school
00:37:48
which they now do so in Rowland's there but
we needed that the quality of education
00:37:53
to come up much like Vietnam has done as
we highlight in the report and in the
00:37:57
agriculture sector we need to make
sure that we help countries move from
00:38:01
subsistence farming to making real
investment so that you can do larger scale
00:38:06
farming so they can feed
themselves and again we give
00:38:09
a great example of that from Ghana in the
report now let's look at poverty I mean
00:38:14
we've been talking about this to
some extent since 2000 more than
00:38:18
a 1000000000 people are lifted themselves
out of extreme poverty which is
00:38:23
a great achievement and this is mentioned
in the in the report however the report
00:38:27
also say
00:38:27
a dick kids of stunning progress in the
fight against poverty and disease may be on
00:38:32
the verge of starting to what do you
attribute this challenge. Well we wanted to
00:38:38
highlight what we're seeing So as you
said this incredible reduction in poverty
00:38:44
incredible but what we don't want the world
to assume is that it's inevitable it is
00:38:49
because of investments the world to made
systematically in human capital in health
00:38:55
in education in agriculture when those
systematic investments are made you see this
00:39:01
enormous reduction in poverty and life
gets better it improves for people around
00:39:05
the world but converse Leigh if you don't
make those investments if you don't
00:39:09
continue to make those investments
00:39:12
a lot of the gains that we've seen
can drop back particularly with
00:39:15
a growing population and so our message
is to the world is keep your foot on the
00:39:20
gas keep the accelerator going we need
to keep making these investments both we
00:39:25
need high income countries to make the
continued investments in things like the
00:39:29
Global Fund and we need low and middle
income countries to keep making the
00:39:33
investments in their own country and the
new measure measure with great data
00:39:37
because that's how we learn you talked about
investment the Bill and Melinda Gates
00:39:42
Foundation has invested more than
$15000000000.00 in projects relevant to Africa
00:39:47
Why is Africa such an important part of
your work we fundamentally believe as
00:39:52
a foundation and Bill and I that all lives
all lives have equal value no matter
00:39:57
where their lives on the planet yet when
you see some of the people who are in
00:40:01
extreme poverty or extreme situation where
many many infants are dying or mothers
00:40:07
are dying in childbirth you see
00:40:09
a lot of that predominantly
in countries in Africa and
00:40:13
a couple of states in northern India
and so we call out Africa and we make
00:40:18
substantial investments in Africa because
we think life can improve there in the
00:40:23
ways that it has in other places in the
world like South Korea that used to be
00:40:27
a low income country that no longer is
the other thing I want to say about our
00:40:31
investments while they look at
streaming a large $15000000000.00
00:40:35
a large number with you look at
what. We're trying to tackle as
00:40:39
a foundation it takes immense partnership
around the world many many many partners
00:40:45
doing the work on the ground in culturally
can textually sensitised ways and
00:40:51
governments governments Gaylene these
projects up so that everyone can have those
00:40:56
benefits so our foundation is what we call
00:40:59
a catalytic wedge we start getting those
things going we show Points of Light ways
00:41:04
of making change we take some risks but
ultimately it's the governments who scale
00:41:10
them up and that work is done in deep
partnership with many people around the globe
00:41:14
and what should we look forward to in terms
of future and vest and priorities Well
00:41:18
I think for us as
00:41:19
a foundation we will always be focused on
the things we're focused on now that is
00:41:24
health agriculture and we're doing
00:41:26
a bit of international education quality
international education around the world
00:41:30
what I think you can see for us
though while we've always had
00:41:33
a science and technology focus because Bill
and I believe fundamentally innovations
00:41:38
that change the world you've seen us move
more towards how do we deliver those
00:41:42
great advances in the last few years we've
gotten much more focused on delivery and
00:41:47
I think you're now also seeing us talking
00:41:48
a lot more about women's empowerment because
if we want to get enormous gains in
00:41:53
the world we need to pull all 3 levels the
science and technology get it delivered
00:41:58
and then we've got to get it in the hands
of women because women so often are at
00:42:03
the center of the family and are the ones
who are making those investments in their
00:42:07
family and so you'll see us doing even
more in women's empowerment because that
00:42:12
will lift up the whole world amending
that Gates and thank you so much for your
00:42:16
time today thank you Lenore. And that was
made in that Gates co-founder of the bill
00:42:22
and maybe in their Gates Foundation
Well it's now time to take
00:42:25
a short break and when
we come back we'll have
00:42:28
a live discussion on this unsafe surgeries
which is very critical in health care to
00:42:34
the rate but 1st a quick roundup of
the latest health news we've come
00:42:39
a lot Tom. The
00:42:46
latest child mortality report released
today shows the steady reduction in child
00:42:51
mortality in Nigeria continued in 2017
according to the new mortality estimates
00:42:56
released by Unicef the World Health
Organization the United Nations' population
00:43:01
division and the World Bank Group under 5
mortality rate in Nigeria reduced from
00:43:05
$103.00 in 2016 to $100.00
deaths per $1000.00 live births
00:43:12
Furthermore That's how mortality rates
fell from 33.5 to 32.9 the towel
00:43:19
mortality rate refers to the probability
of dying between birth and 28 days of age
00:43:24
expressed per 1000 live births the latest
levels and trends in child mortality
00:43:29
Report 2018 from Unicef and partners
in the un interagency group for child
00:43:34
mortality estimation shows the full scope
of child immortality rates across the
00:43:39
world from newborns to adolescents
Botswana leaders made
00:43:42
a call for urgent action on non-communicable
diseases or in C.D.'s in the African
00:43:47
region Monday at a landmark forum held.
The call comes as the world prepares for
00:43:52
a high level meeting on in C.D.'s at the
un General Assembly in New York which will
00:43:57
take place at the end of September 2018
in C.D.'s our group of chronic health
00:44:02
conditions that include cardiovascular
diseases cancers mental disorders and
00:44:07
diabetes they are now the leading killers
on the planet causing 7 in 10 best
00:44:11
globally the major causes or avoidable
risk factors like tobacco use harmful
00:44:16
alcohol consumption physical and. Witi and
healthy diets in Africa countries are
00:44:21
seeing
00:44:21
a rapid rise in cd cases some Bob boy is
struggling with this deadliest outbreak of
00:44:27
cholera in decades which has killed at
least 28 people an emergency has been the
00:44:32
clear and public gatherings banned in
the capital Harare an outbreak of the
00:44:36
waterborne disease was confirmed by authorities
in early September killing 5 people
00:44:41
and infecting dozens more within weeks
the death toll has risen to 28 with more
00:44:46
than 5000 reported cases of infection the
World Health Organization and the Red
00:44:51
Cross are ramping up their emergency
response national and local politicians are
00:44:55
trading blame over
00:44:56
a failure to maintain safe water supplies
and maintain infrastructure and that's
00:45:01
a wrap up of the latest news.
00:45:09
Welcome back for those of you joining us
late tonight we will be talking now in the
00:45:15
2nd half of the program we will turn to
sort of surgery every year millions of
00:45:22
people undergo surgical treatment and
while surgical procedures are intended to
00:45:27
save lives and save surgical care can
cause substantial harm the World Health
00:45:32
Organization says complications after
inpatient operations or current up to 25
00:45:38
percent of patients and motel u.t.
00:45:41
From general anesthesia alone is
reported to be as high as one in
00:45:47
150 in some parts of sub-Saharan
Africa well to discuss this we are
00:45:53
joined via phone from Baltimore
Maryland by Dr Jones around oh he's
00:46:00
a global surgery director j.p.
00:46:03
I go global health nonprofit organization
and Dr Varada Welcome to the show thank
00:46:10
you and thank you for having us on your
show fantastic We're also joined by Dr
00:46:14
Augustine O'Hara director of the
safe surgery pro. Graham with j.p.
00:46:19
Growth and Tanya That's ahead I thank you
so much for joining us I think you saw
00:46:24
the both of you out together joining us
from Baltimore and listen this surgery is
00:46:30
a topic that is so critical however
there seems not to have enough coverage
00:46:37
to my experience so let me start with you
Dr Varadero would you describe for us
00:46:45
the mood all burden of surgical
care to what extent is the problem.
00:46:53
It is
00:46:54
a very important issue and to start when
we talk about surgical care we need to
00:46:59
acknowledge that it's an absolutely
essential component of health care and as
00:47:05
you're alluding to I think it's that
important tend to be underestimated even
00:47:11
within the global health community to put
that in perspective you know globally
00:47:16
5000000000 people 5000000000 people lack
access to safe surgical care and if we
00:47:23
look at the You compared to other health
conditions for example more lives
00:47:30
are lost from from treatable
surgical conditions then from HIV
00:47:36
malaria and TB combined in factors 18000000
lives are lost due to lack of access to
00:47:42
safe surgical care that's 5 times
more than HIV malaria and TB combined
00:47:49
and he when we start looking at this would
you know underline if these numbers are
00:47:54
also. Equity gaps if we look
at you know globally that the
00:48:01
burden of this lack of access falls more
heavily on certain countries such as in
00:48:07
the Sub-Saharan Africa Southeast Asia and
parts of Latin American Caribbean and you
00:48:12
see this inequity even within countries
you looking at certain populations that
00:48:17
really lack. Access to it such as
rural versus urban populations and
00:48:24
you know that really you know
drives I drive that inequity.
00:48:32
Really I mean to think about it it's
incredible to know that so many people died
00:48:38
die of it but. You know we don't
talk much about. Dr Heather let me
00:48:45
ask you this Dr. Mention 5000000000 people
surgical care how does this translate
00:48:52
into that describes the situation in. So
00:49:00
the situation in Tanzania is. Just
like what Dr but I was just mentioned.
00:49:07
So in the regions where
we where. We have. Very
00:49:14
few specialists for providing such
00:49:18
a care so we went into regions in Tanzania
pulled together in my intellect sort of
00:49:24
times and here and in these regions we
have only one. Tragic or specialist
00:49:31
for population of about 3000000 people
and then also about 3 o.b.-g.y.n.
00:49:38
Is for police for the simple pollution and
no anesthesiologists so simply there are
00:49:42
no enough specialists to provide
services. And the number
00:49:49
of the number one procedure that is being
done in these facilities he's very
00:49:55
inception so. What we're doing now he's
to train one specialist to be able
00:50:02
to provide. Skilled face tragical care for
for the populations in these areas Wow
00:50:08
that's incredible doctor although when you
had to specific instance and you want
00:50:13
specialists for so many people would you
say that the fundamental issue here is.
00:50:20
Specialist lack of expertise when it comes
to you when you don't think I'm country
00:50:26
countries or does it depend on each country
or each region Well you know I do think
00:50:32
it depends on the different context
but we do know that the lack of.
00:50:40
The workforce lack of skills in the workforce
is an issue but it doesn't mean that
00:50:44
it has to be
00:50:45
a specialist and so that's what we're
focusing on in Tanzania Tanzania and also
00:50:50
many of our countries is building the
skills of these non-specialist And if these
00:50:55
non-specialists teams. Our we build the
their skills or knowledge to the point
00:51:01
where they are competent and confident and
able to provide the services then you're
00:51:06
you're building that that access the other
issue also is it is not just around
00:51:11
human resources but ensuring that the that
the facility the infrastructure is there
00:51:16
the. Equipment the supplies the oxygen water
new blood all those things kind of go
00:51:22
hand in hand so that the hell are you
mention that in one of these areas there is
00:51:29
no. Dentist does not exist
so how do you handle
00:51:33
a situation like this yes so we're building
the capacity over these teams to be
00:51:39
able to. Provide safe touch with his
fist by training them with hitting
00:51:46
them on leadership sheep skills that help
them to identify some challenges that
00:51:52
they face on the day to day.
Basis. Then put up action plans
00:51:58
so some of these challenges but we're
also pairing them to mentors from
00:52:04
a local refills or the hospital and these.
00:52:11
Mentors can help them. Work with them
to solve the challenges but also for
00:52:18
work with them to do cycle procedures
meaning that to build their confidence in
00:52:23
providing
00:52:24
a safe surgery and with less complications.
Now that the. Doctor had are
00:52:31
mentioned earlier that many many of the
patients who need so well the number one
00:52:38
surgery is being provided these
kids are in fiction so how
00:52:44
woman being affected by these
very lethal axes to the
00:52:51
surgery. I think great point because we
were talking about those numbers we also
00:52:58
see that there's
00:52:59
a. Gender gap as well and if we
look at globally you know which
00:53:06
if you timely access to the fake
severe infection can prevent
00:53:13
nearly $100000.00 maternal deaths each
year and reduce newborn deaths by 30 to 70
00:53:18
percent and so part of the approach is
that beyond just providing the routine
00:53:25
maternal
00:53:26
a newborn health services we want to
make sure that we're also including the
00:53:30
surgical component because without that
then you're not really going to have as
00:53:35
much of an impact on improving maternal
newborn health and not to have our interns
00:53:41
on yet then what are. The steps I know
you talked about capacity building
00:53:48
this is also a problem of
the health care system as
00:53:51
a whole so what what is being
done in that regard. So
00:53:59
at the missional level we are supporting
the government of Tanzania to. Develop
00:54:06
admission or we have supported them to
develop initial tragical of sitting in
00:54:11
a city a plan that he's like
00:54:13
a road map for strengthening
technical services to finances and
00:54:19
a few senses in the country in general
but then we're also working at
00:54:23
a facility level in these 2
regions where as I say we train
00:54:27
a fragile teams to empower them to be
able to talk the challenges but we also
00:54:33
giving them clinical skills. In the fiction
prevention skills so that the surgeries
00:54:39
they do have less complications and they
can provide more access to said Jerry to
00:54:45
the communities around them. Not the how
to access to safe surgery access to
00:54:51
Surgeon General. Just the problem in the
developing world in the developed world is
00:54:57
some people will say well argue that the
cost of surgery is a problem so if it is
00:55:03
a problem in countries where people have
the means to have surgeries What about in
00:55:08
the developing world in
00:55:10
a place like the un Sanny are the countries
what is your take on the cost of
00:55:14
surgery. And that's another other great
point and when we talk about access we can
00:55:19
talk about whether it's just the
physical location so distance to
00:55:25
a facility having the qualified provider
and the infrastructure as you mentioned
00:55:30
but also the cost and so that can be
00:55:33
a real barrier especially with you talking
about where the access is only in the
00:55:38
private sector so there's dots where we
really have this push for the universal
00:55:42
health coverage because you know if
you if it's too costly that we can
00:55:49
that it prevents that access and the the
choice for the family is to decide whether
00:55:54
either to forego. The services
or to go into extreme
00:56:01
debt so that is that is
00:56:04
a really high top priority for us is to
guarantee universal health coverage to so
00:56:10
that people don't need to make that
decision and that they don't have that they
00:56:13
aren't. But when debt go into poverty
just by having this basic service
00:56:21
and then quickly before we wrap it up of
her own. Well how would you make the case
00:56:27
for this surgery I mean when you look at
the Senate bill Development Goals and all
00:56:31
the issue on the agenda and even in general
when we want to advance global health
00:56:37
there's surgery again as I mentioned that
doesn't seem to get much attention how do
00:56:42
we make a case. We make a case by as
00:56:45
a party pointing out the the importance
of surgical care that is not
00:56:50
a luxury that it is
00:56:52
a absolutely essential and individual
component of health care and that by making
00:56:58
the investment actually you if you look at
the investments needed for safe surgery
00:57:03
that you have a return on that
investment and so it's actually
00:57:09
a wise investment for 4 countries and so
we we can look at from from that sample.
00:57:15
And as well as
00:57:16
a human rights standpoint so I think that's
where we need to really kind of drive
00:57:21
the message and to head out the final
was. About perhaps some positive
00:57:27
outcome you have since since you've been
working on this so we started to implement
00:57:34
these programs barely a v.c.r.
00:57:35
And already seen
00:57:37
a really really hard. Day's activities that
you're training has more on she went in
00:57:44
communications they've developed action
plans to solve many of the challenges they
00:57:49
face like the one to increase as you call
volumes in different cities we want to
00:57:54
reduce complication rate we want to use
waiting times for patients but they
00:58:01
also using digital surgical sufficiently
switches are simple tools. And safety
00:58:09
you know to communication is indispensable
to our identity and we have to leave it
00:58:12
there thank you so much Dr August you know
Helen and Dr John Barlow for joining us
00:58:16
today thank you very much thank you
and we also thank many in the gates
00:58:21
a co-founder of the Bill and Melinda Gates
foundation for talking to health chats
00:58:26
this thanks to all of you for joining
us and thanks to all our t.v.
00:58:29
It's
00:58:29
a caring health task I'm your host not
with you in Washington with producer. Tom
00:58:35
with the news and engineer afraid of until
next time take care be well and strive
00:58:41
to make every day
00:58:42
a healthy day. The
00:59:06
be. The best.
00:59:26
This is the way news I'm Tommy make me
rushes the fence ministry says hostile
00:59:31
actions by Israeli fighter jet pilots led
to Syrian air defense system shooting
00:59:36
down a Russian military reconnaissance
plane killing 15 people aboard now as e.p.
00:59:43
Correspondent Charles de la Desmond reports
experts will be looking to see there
00:59:46
has been
00:59:47
a current breakdown of communication between
Russia and Israel over the Syrian air
00:59:51
space Russian state television has quoted
00:59:53
a leading official saying Israel is fully
to blame for the deaths Moscow claims
00:59:58
Israel didn't warn it of its operation until
an minutes before the strike which did
01:00:02
not give the Russian planes
enough time to escape
01:00:05
a recovery operation is now underway in
the Mediterranean Sea to retrieve bodies
01:00:09
and fragments of the wreckage from the
l $120.00 AK crossed for several years
01:00:14
Israel and Russia have maintained
01:00:15
a special hotline to prevent that Ethel's
is them clashing in the skies over Syria
01:00:20
Israeli military officials have previously
praised its effectiveness I'm jealous of
01:00:24
it as my china is responding to u.s.
01:00:27
President Donald Trump's plans to impose
an additional $200000000000.00 worth of
01:00:31
tariffs on Chinese imports
we think. What the u.s.
01:00:36
Is doing right now on these economic madness
mats Harb on the president of European
01:00:41
Union Chamber of Commerce in China says
this is not going to help deal with the
01:00:45
problems the new duties which take effect
next Monday September 24th will begin at
01:00:50
10 percent then rise to 25 percent in
January of next year the terrorist will be
01:00:56
unposed on thousands of consumer goods
including electronics food tools and
01:01:01
housewares President Trump has ordered
the Justice Department to declassify
01:01:06
a trove of documents related to the
investigation into Russian election meddling
01:01:10
White House spokeswoman Sara sander says
the information to be made public includes
01:01:14
f.b.i. Surveillance warrants of
former Trump campaign advisors and
01:01:19
a high ranking official at the u.s.
01:01:21
Department of Justice this is viewing
news. Tens of thousands of North Koreans
01:01:27
should chanted unification and wait flowers
at their leader Kim Jong un and South
01:01:32
Korean president moon j.n.
01:01:34
In the parade through Pyongyang
this is as a to kick off
01:01:37
a somebody named rekindling stalled
nuclear diplomacy Reuters recently.
01:01:44
The leaders of North and South Korea kicked
off their latest summit on Tuesday this
01:01:48
time in Kenya greeted the South's new Jane
at the airport the 2 looking for more
01:01:55
familiar in their 3rd meeting with smiles
and hugs even took the time to shake
01:02:00
hands with North Korean civilians tens
of thousands of them showed up waving
01:02:04
flowers and chanting unification later
more of the same treatment from North
01:02:09
Koreans as Moon and Kim paraded around the
streets the big question at this summit
01:02:14
is whether or not Kim is serious about
denuclearization and it may set the stage
01:02:20
for a 2nd summit with u.s.
01:02:21
President Donald Trump Reuters Grace Lee
the Senate Judiciary Committee will host
01:02:26
a showdown next week between Supreme
Court nominee Brett Kavanaugh and the
01:02:30
psychology professor who accuses him of
sexually assaulting her when they were in
01:02:34
high school a.p.
01:02:35
Washington correspondent soccer Magon It's
01:02:38
a hearing the panel was hoping to avoid
But amid bipartisan demands it'll hear
01:02:42
Monday from both Cavanaugh and Christine
Blasi for listening to what each party has
01:02:48
to say but I believe our panel Democrat
Kaamelott Harris on c.b.s. This more.
00:00:00
The Syrian defense both the Israeli
military and Israel's foreign ministry
00:00:05
declining to comment on the Russian account
of what took place in the skies of
00:00:09
northwestern Syria on Monday I'm jealous
of that as my china is promising to take
00:00:14
countermeasures against us President Donald
Trump's plans to impose an additional
00:00:18
$200000000000.00 worth of tariffs on Chinese
imports even though the pressure China
00:00:22
into substantial change changes will have
to come because they are seen as being
00:00:27
good for the development of the Chinese
economy and that's mats Harben the
00:00:31
president of European Union Chamber of
Commerce in China the new duties which take
00:00:35
effect next Monday September 24th will
begin at 10 percent and rise to 25 percent
00:00:40
in January of next year the terrorists
will be on posed on that thousands of
00:00:44
consumer goods including electronics food
tools and housewares the leaders of North
00:00:50
and South Korea have begun the 1st of 3
days of negotiations in Pyongyang aimed at
00:00:55
reaching an eventual agreement on the nuclear
reservation The Big Question at this
00:00:59
summit is whether or not to is serious
about denuclearization and it may set the
00:01:04
stage for a 2nd summit with u.s.
00:01:06
President Donald Trump according to Moon's
aides Trump has asked the South Korean
00:01:11
president to be chief negotiator between
himself and Kim after canceling
00:01:15
a trip to Pyongyang by
Secretary of State my pump
00:01:18
a last month that's Reuters Grace
Lee reporting and this is v.o.a.
00:01:23
News. The Senate Judiciary Committee will
hold public hearings next week to hear
00:01:28
from u.s.
00:01:29
Supreme Court nominee Brett Kavanaugh and
the woman who's accused him of assaulting
00:01:33
her 3 decades ago while the 2
were in high school but his a.p.
00:01:37
Washington correspondent soccer Madonna
reports President Trump is standing by his
00:01:41
Supreme Court nominee just days ago
Kavanagh's confirmation appeared all but
00:01:45
certain there is some doubt now that the
president's ruling out withdrawing the
00:01:50
judge's name next question What
00:01:52
a ridiculous question he's still backing
Cavanaugh's character one of the finest
00:01:56
people that I have a note of but in
00:01:58
a sign of just how politically perilous
the Kavanaugh allegation is in the me to
00:02:03
age the president's defense is somewhat
muted say he wants the Senate to go through
00:02:08
a complete process and hear everybody out
before eventually confirming his 2nd High
00:02:13
Court pick as it takes a
little delay will take
00:02:15
a lot of the lead solder Megali at the White
House President Trump has ordered the
00:02:19
Justice Department to declassify documents
related to the investigation into
00:02:23
Russian election meddling White House
spokeswoman Sara Sanders says the information
00:02:28
to be made public includes f.b.i.
00:02:30
Surveillance warns of a former Trump
campaign advisor and reports of f.b.i.
00:02:34
Interviews with a high
ranking official at the u.s.
00:02:37
Justice Department Mr Trump has
consistently said some of the f.b.i.
00:02:40
And Justice Department reports are
biased and tainting the independent
00:02:45
investigation into whether his campaign
collaborated with Russia to swing the 2016
00:02:50
election in his favor an Iranian government
aligned group of hackers launched
00:02:55
a major campaign targeting a Mideast
energy firms and others ahead of u.s.
00:02:59
Sanctions on Iran that's according to
00:03:01
a cyber security firm it says
while the firm Fire Ice says
00:03:06
a so-called spearfishing e-mail campaign
only involves hackers stealing information
00:03:10
from infected computers
but it also involves
00:03:13
a similar type of malware
previously used to inject
00:03:15
a program that destroyed tens of thousands
of terminals in Saudi Arabia the
00:03:21
divisions between member states threaten
to derail European Union so. Dawn
00:03:25
migration scheduled Wednesday in the
Austrian city of Salzburg in ri Ridgwell
00:03:30
reports reveal way even within Europe's
political alliances on the right and left
00:03:35
there are growing divisions over Migration
says analyst Leopold Traugott of policy
00:03:41
analyst group Open Europe the summit will
most likely going to portray it as the
00:03:46
the battle between on the one hand
00:03:47
a progressives want to keep you up open
want to continue to help asylum seekers and
00:03:52
on the other hand the hardliners the
populists who want to close Europe down and
00:03:55
create
00:03:56
a fortress you up but again division isn't
that clear cut at London's insistence
00:04:01
Britain's exit from the European Union just
6 months away will also be discussed in
00:04:07
Ridgwell reporting for really News
I'm Tommy McNeill the way news.
00:04:30
Today is Tuesday September 18th 2018 and
this is big Always international edition
00:04:36
I'm Jim Birch hell for Sarah Williams in
Washington coming up Russia is blaming
00:04:42
Israel for the loss of
00:04:43
a military plane off Syria to secure
external borders the front line
00:04:49
countries of the European Union need our
support the new dollar solidarity but on
00:04:54
the other hand they also have to accept
to support them to help of the European
00:05:00
Union the European Union prepares for
00:05:03
a migration summit on Wednesday Also ahead
rescuing the floor legged victims of
00:05:08
Hurricane Florence It's all coming up on
today's international edition. Russia says
00:05:14
should Syria shot down one of its military
planes but lays the blame for the deaths
00:05:19
of the 15 people on board with Israel a.p.
00:05:22
Correspondent Charles Dillard Esma reports
the Russian defense ministry says the
00:05:27
act was brought down by
00:05:28
a Syrian missile over the Mediterranean
killing all 15 people on board Moscow
00:05:33
blames Israel for the crash saying the plane
was caught in the crossfire as thought
00:05:38
is ready fighters attacked targets in
northwestern Syria an official says the
00:05:43
Israeli pilots had been using
the Russian aircraft as
00:05:45
a shield and had pushed it into the line
of fire of the Syrian defense both the
00:05:50
Israeli military and Israel's foreign
ministry declining to comment on the Russian
00:05:55
account of what took place in the skies of
northwestern Syria on Monday I'm jealous
00:06:00
of that as my Meanwhile Russian
and Turkey have agreed to create
00:06:04
a new demilitarized zone separating pro
Syrian government and opposition forces for
00:06:09
control of Northwest lip Robyn's
bordering Turkey it forestalls for now
00:06:14
a planned Russian backed assault on the
last major rebel stronghold in Syria that
00:06:19
is opposed by Turkey Russian President
Vladimir Putin said in his talks with his
00:06:24
Turkish counterpart Recep
Tayyip Erdogan on it was agreed
00:06:28
a contact line would be created by October
15th facilitating the withdrawal of what
00:06:33
he called radically minded militants alone
pioneer directs the Middle East Studies
00:06:38
Center at the Ohio State University he
told Beale ways Victor Beattie this 3rd
00:06:44
meeting between the 2 leaders is a
direct result of the Russian sponsored
00:06:48
a stun your process named after the cause
00:06:50
a capital where Moscow has hosted Syrian
peace talks. So apparently is what Turkey
00:06:57
and Russia have decided that that should
read no assault on Hadley because the
00:07:02
United Nations the United States and many
other Europeans and Muslim countries have
00:07:07
protested that that that would be imminent
when it got in disaster because look at
00:07:13
live that are not only some terrorist groups
like and others active but it's about
00:07:19
3000000 civilians that are living there
so that would bitterly and this is one
00:07:23
reason why the key was against that this
assault from the beginning and Iranians
00:07:27
Iran and Russia which is supporting the
Bashar Assad government and they were keen
00:07:32
to probably make this attack and then finally
to move the terrorists from that area
00:07:38
but finally they have learned that
it's not that easy there would be
00:07:41
a large number of the civilian casualties
so probably they have come to their
00:07:45
senses and now they have decided though
that would be about 15 to 20 kilometer away
00:07:50
from the city so that it would diminish
what I was on and that demand televised on
00:07:54
will be will probably somehow protected
by Turkish and by the Sion forces that is
00:08:00
one thing that we did not see in the news
that is nothing about Iran that what the
00:08:03
Iranian supporting forces would
be doing and so they're totally
00:08:08
a lost if it marginalized it on here and
it was probably deliberate in the part of
00:08:13
Turkey and Syria that Iran is not
00:08:15
a party to this somehow to keep reason iron
quiet and Americans quite so maybe that
00:08:20
was the reason that they just got not
mentioning much about it on need the Russian
00:08:24
President Putin nor Turkey's leader there
to want explained how they plan to
00:08:29
differentiate quote unquote radically minded
rebels from other anti Asada groups in
00:08:35
lib Yes the problem here is that in Atlanta
and as in many other cities so it is
00:08:41
not only that radical groups such as
ISIS I'll call you The Eleanor there are
00:08:47
civilians and there are many other former
military officers what against the Bashar
00:08:51
al Assad regime so they're
not a position that is
00:08:53
a Free Syrian Army. There are some critics
groups that were also opposing the
00:08:57
Charlotte sub government so it's not only
that the terrorists are in control of lip
00:09:03
there are many other groups so who are
opposing the Bashar al Assad government and
00:09:08
so so for that reason that thinking that
it would be better hand to hand combat if
00:09:11
they would go in and that
would probably it is all that
00:09:14
a very large number of civilian casualties
but by the way we have to keep things in
00:09:18
perspective of almost
00:09:19
a 24 hour producer 5000000 Syrian estimated
Syrian population 5000000 of them have
00:09:26
become refugees outside Syria and 6000000
are internally displaced and about half
00:09:31
a 1000000 Syrians have been killed since
2011 will it lib remain outside of Syria
00:09:38
or will eventually be brought into the
Syrian fold but that's what the city is
00:09:43
counting on time however Mustafa sorry
00:09:46
a member of the rebel Free Syrian Army told
Reuters Tuesday the Russia Turkey deal
00:09:51
and President Bashar al Assad's hope of
regaining full control of it live he said
00:09:56
it will provide a springboard for
00:09:58
a political transition that will end
the Syrian leaders authoritarian rule.
00:10:07
Among the top stories in the world the most
powerful tropical storm of the year to
00:10:11
date left
00:10:12
a swath of possibly long term damage
after killing more than 60 people in the
00:10:17
Philippines in another 4 in China thousands
of parents are withdrawing their
00:10:21
children from schools in the English
speaking regions of Cameroon after armed men
00:10:26
attacked and wounded dozens of
people Iranian media is reporting
00:10:30
a bus collided with
00:10:31
a tanker in central Iran killing at least
21 people and injuring nearly 2 dozen
00:10:36
other u.n.
00:10:37
Investigators accuse the me and Maher
military of committing the most serious
00:10:42
crimes under international law expanded
coverage of these stories and more are on
00:10:47
the v.o.a. News dot com
website and on our v.o.a.
00:10:50
Mobile app this is the
international edition. This is.
00:11:00
As
00:11:00
a team of astronomers were looking beyond
Pluto put the mysterious planet 9 they wound
00:11:05
up discovering
00:11:06
a dozen new moons orbiting Jupiter the
astronomers call the 11 of them normal outer
00:11:12
moons but there is also one they label
as an oddball the oddball moon has
00:11:16
a pro-grade orbit which means it circles
the planet in the same direction but
00:11:21
unlike Jupiter's other pro-grade moons the
New Moon's orbit processes the path of
00:11:26
others orbiting in retrograde shortly
opposite direction setting up the possibility
00:11:32
of
00:11:32
a collision team leader Scott Sheppard from
the Carnegie Institution for science calls
00:11:37
the oddball orbit and
unstable situation and that
00:11:40
a head on collision would quickly break the
objects apart and grind them down into
00:11:45
dust the sky every of the 12 objects
brings the total of known Jovian moons to
00:11:50
$79.00 I'm Vio always Rick Penta Layo.
00:11:58
This is video ways international edition
South Korean president in is in Pyongyang
00:12:04
for the 1st of 3 days of negotiations with
North Korean leader Kim Jong un v.o.a.
00:12:10
Steve Miller is covering the summit from
Seoul he tells us about the arrival
00:12:14
reception at the airport are actually
pretty interesting sign to be. At the
00:12:21
airport tarmac was laid out were red
carpet and surrounding the red carpet or
00:12:28
air naval and army forces from the Korean
People's Army and then also there was
00:12:35
a military band there and then also on
the periphery there were. North Koreans
00:12:41
standing there than anywhere and pressed
black suits and women wearing traditional
00:12:47
clothes called. Summer carrying flowers
for the North Korean flag and.
00:12:54
Some are actually carrying the unified
Korean peninsula Flag Service all during the
00:12:58
20 some John Winter Olympics when President
Moon's plane landed taxi to around and
00:13:04
then about 10 am the doors
open prior to that it was dead
00:13:11
silence on the tarmac and then the military
band played and that's when Kim Jong un
00:13:16
and his wife who sold through.
Departure gates and walked out on
00:13:24
that red carpet and waited for Kim.
President Moon and his wife to descend the
00:13:29
staircase where they met with hugs and
handshakes what do we know about the 1st day
00:13:34
of talks with the schedule was really jam
packed so following that welcome ceremony
00:13:40
at the airport and separate luncheons at
the guesthouse. Then kind of split apart
00:13:47
and started their Korean summit so President
moon and North Korean leader Kim Jong
00:13:52
un started their summit
00:13:53
a little bit later than expected with most
or 333rd 15 minutes late you know they
00:13:58
actually had held in the headquarters of
the Central Committee for the North Korean
00:14:02
Workers Party who were Kim's offices and
as the 2 Korean leaders began their
00:14:07
session Kim Jong un think President Clinton
for his efforts to improve relations
00:14:12
and the South Korean leader also think
his counterpart for a decision to open
00:14:18
a new era of peace on the peninsula Now
while that meeting was taken place the
00:14:24
wives. Actually had their own mini summit
their own day away they went to a q.
00:14:31
Children's Hospital and then on to the Kim
Wong University of music because they
00:14:37
both have a music background and they
were accompanied by a composer and
00:14:41
a couple of key pop singers on their trip
when the did nuclearization of the Korean
00:14:45
Peninsula is one of the key topics at the
summit as the South Korean delegation
00:14:50
discussed any progress on the issue now
that's one thing that really hasn't been
00:14:54
forthcoming from the reports from the
summit and not clear whether that would be
00:14:59
with one more round of talks scheduled
for tomorrow during Tuesday's afternoon
00:15:04
press briefing the press secretary for the
president said Ancram how much progress
00:15:09
would actually be made on the nuclearization
talks and that it was necessary to
00:15:14
wait until Wednesday's talks
concluded and if there would be
00:15:18
a joint press statement made in the
afternoon to announce any kind of agreement
00:15:24
that would be made but if there are any
agreements made it's also unclear how much
00:15:29
detail we would get because we were
informed that present moon j.n.
00:15:34
Would speak directly to u.s. President
Donald Trump on the sidelines of the u.n.
00:15:38
General Assembly to relay any kind of
concessions or any kind of information that
00:15:44
would make as a result of this summit
with Steve Miller you've been doing
00:15:48
a great job covering the summit for
00:15:49
a single look forward to talking to you
tomorrow Steve Miller in Seoul thanks so
00:15:54
much my pleasure elsewhere in Asia President
Trump impose tariffs on an additional
00:15:59
$200000000000.00 worth of Chinese
goods coming into the u.s.
00:16:03
Continuing an ongoing trade war between the
2 countries China says it has no choice
00:16:08
but to retaliate a.p.
00:16:10
Correspondent Julie Walker reports in the
latest trade war tips for tat China says
00:16:15
it will swiftly retaliate against American
exports a move that stands to hurt u.s.
00:16:20
Farmers another u.s.
00:16:21
Company selling products to China this
after the top administration said. We'll
00:16:26
begin taxing 200000000000 in Chinese goods
Starting Monday the target list is huge
00:16:32
ranging from purses to read 10 mats to
burglar alarms to bicycles Trump says the
00:16:37
tariffs are designed to
force China to change
00:16:39
a range of unfair trade practices the 2
countries already had import taxes on
00:16:44
50000000000 worth of each other's
products I'm Julie Walker in Europe deep
00:16:49
divisions between member states threaten
to derail the European Union summit on
00:16:53
migration scheduled for Wednesday in the
Austrian city of Salzburg we get the story
00:16:58
from Henry Ridge well in London the.
00:17:07
60 African migrants were plucked from
the Mediterranean moments before their
00:17:12
inflatable boat sank beneath the waves in
00:17:15
a perilous rescue Saturday by Spanish
authorities it is the latest of dozens of
00:17:21
such operations this year on the so-called
western Mediterranean route which now
00:17:26
accounts for more than half of all illegal
crossings into the European Union most
00:17:31
of the migrants are from Guinea Mali and
Morocco overall migrant numbers into
00:17:37
Europe are down 40 percent year on year
but migration continues to dominate e.u.
00:17:43
Policy debate visiting Paris before
Wednesday's Salzburg summit host Austrian
00:17:49
Chancellor Sebastian curds Monday called
for an enhanced role for the e.u.
00:17:55
Border Agency Frontex across the blocks
external frontiers to secure external
00:18:02
borders the front line countries of the
European Union need our support the new
00:18:07
dollar solidarity but on the other hand
they also have to accept the support and
00:18:12
the help of the European Union that was
00:18:16
a thinly veiled message for frontline
states including Italy and Hungary whose
00:18:22
governments have repeatedly blamed the
European Union for the. Migrant crisis
00:18:27
speaking to lawmakers Monday Hungary's
prime minister Viktor Orban offered
00:18:32
a blunt response has your bunny
of doing mean to but. He says
00:18:38
Hungary is better
00:18:39
a border protection than anyone else in
Brussels or some international organization
00:18:45
therefore Hungary will not give up the
rights to protect its borders even within
00:18:51
Europe's political alliances on the right
and left there are growing divisions over
00:18:56
Migration says analyst Leopold Tragos
of policy analyst group Open Europe the
00:19:02
summit will most likely
going to portray it as
00:19:04
a battle between on the one had the
progressives want to people who are open who
00:19:08
want to continue to help asylum seekers
on the other hand the hardliners the
00:19:12
populists who want to close
Europe down and create
00:19:14
a fortress Europe but again the division
isn't that clear cut at London's
00:19:19
insistence Britain's exit from the European
Union just 6 months away will also be
00:19:25
discussed the International Monetary Fund
warned Monday that failure to strike an
00:19:30
exit deal would entail in its words
substantial costs for Britain's economy Henry
00:19:36
Ridgwell view a news London visit v.o.a.
00:19:39
News dot com for more on this and all of
today's latest news I'm Jim Breuer tell
00:19:44
and you're listening to
international edition on veal way.
00:19:51
You love music How about make
Shelton and Carrie Underwood
00:19:55
a Merle Haggard in the Ritalin experience
the best in country music on country hits
00:20:00
USA I bring you some countries rock out
00:20:03
a little hillbilly contemporary war with
the death of entertainment news doing so
00:20:08
join me for country hits USA on
dealing with the Voice of America.
00:20:21
Take your pick what's on television log
onto the Internet or listen at right. On
00:20:26
the radio below I am sick of the host
those to talk Africa from the Voice of
00:20:31
America each one is then I will put you in
touch with newsmakers experts as the un
00:20:37
I talk about the most important social and
political issues in Africa say I'll be
00:20:43
waiting for your corner Wednesday night
straight talk Africa from the Voice of
00:20:47
America.
00:20:55
And this is an international edition the
remnants of Hurricane Florence that struck
00:21:00
the Southeastern u.s.
00:21:01
Is now soaking areas in the northeast
with heavy rain as forecasters warn of
00:21:06
widespread flooding threats the latest
warnings accompany the flooding in North
00:21:10
Carolina where Florence hit as
00:21:12
a Category one hurricane last week and
dropped up to 90 centimeters of rain as it
00:21:17
lingered for several days at least 32 deaths
are blamed on the storm people aren't
00:21:22
the only ones suffering from the storm
many household pets were trapped in
00:21:26
crumbling shelters now volunteers and
donations have begun pouring in for them
00:21:31
a rush are both soggy reports from North
Carolina. Dry Goods and other pet supplies
00:21:38
are just some of the donations pouring
in from people who want to help dogs and
00:21:42
cats in rural parts of North Carolina since
Hurricane Florence covered much of the
00:21:47
state with record setting rainfall all in
tears say each one of the stacks of dry
00:21:52
food weighs more than 450 kilograms. Donations
mostly sourced through Facebook help
00:21:58
deliver the federal marriage care for the
dog sheltering at the North Carolina
00:22:01
State Fairgrounds I want of people we saw
this to Katrina they're not leaving their
00:22:07
houses and less they can take their jobs
with them for many people the jobs are all
00:22:12
they have. People donated mostly
cleaning supplies and water while being
00:22:17
a chef Jose Andres and his nonprofit world
center kitchen help feed volunteers but
00:22:22
it's just wrong to say it's teamwork you
know I've got people that probably never.
00:22:26
In the cage before I've got people have
never dog walked the dog before but it's
00:22:30
just too nice to do one where the natives.
Here say much of these goods are going
00:22:35
to some of the most rural parts of the state
where people may not have electricity
00:22:39
or clean water area residents went shopping
just to donated all everything on the
00:22:44
lists so dog food blankets
towels paper towels.
00:22:51
Wipes and Bolz. The more than 100 animals
at this makeshift shelter will be matched
00:22:57
with foster care homes if they're not
claimed by owners of the next door Meeks
00:23:01
unlikely volunteer say as they were already
abandoned meaning these animals are now
00:23:05
more likely than ever to find
permanent homes rusher beside
00:23:09
e Bay only news Raleigh
North Carolina in Baltimore
00:23:12
a free after school music program called
orchids is being used as an instrument of
00:23:17
change for children in underprivileged
neighborhoods the program sponsored by the
00:23:21
Baltimore Symphony Orchestra
aims to create social change in
00:23:25
a city where about 40 percent of the
population live in poverty via ways Deborah
00:23:30
block reports. Here at the seed school in
00:23:37
Baltimore 15 year old me
Murat Ansen concentrates on
00:23:41
a piece of classical music for the past
4 years Newman has been taking for the
00:23:46
after school group violin lessons through
for kids and also happy because I know
00:23:54
I know like I can do different styles. Her
teacher aren't him working career and
00:24:01
study violin at
00:24:02
a prestigious Peabody Institute in
Baltimore Kim says Minas determination has
00:24:08
helped make her
00:24:09
a top student. Given someone
like me Mom the confidence. And
00:24:16
the practice to be in
front of people to have
00:24:18
a skill set that you can be proud of. Name
is musical journey started when she and
00:24:25
her mother Susan Johnson watched
00:24:27
a concert in Baltimore that showcased more
kids not knowing that one day Nima would
00:24:33
be onstage herself with the mostly
African-American girls. And them elbow
00:24:39
a name and number one what you
should be doing. Name a had
00:24:45
a hard start in life with
both parents in prison as
00:24:49
a result Johnson became both Guardian
and mother to her. She's helped me
00:24:55
a lot she is my number one
supporter she 1st says I made
00:24:58
a practice pushes me and like if I wasn't
I don't think I would like really this
00:25:05
this and good in playing. Thanks to her
free violin lessons I was accepted into the
00:25:12
Baltimore school for the Arts where she
now studies music. She hopes to earn
00:25:18
a college degree in music so she could teach
other black children like herself how
00:25:24
to live their lives on
00:25:25
a high note. It doesn't matter what
race you are. You can find music.
00:25:33
Is if it's your passion is it your
passion. Deborah block you're
00:25:39
a New Baltimore. This is
video ways international
00:25:46
edition
00:25:47
a Japanese entrepreneur has signed up to
be the 1st passenger that privately owned
00:25:52
space x. Will fly to the moon speaks
00:25:54
a founder and chief executive officer on
Musk introduced USACA miles Arwa during an
00:26:00
event Monday evening for me these projects
these very meaningful I thought long on
00:26:07
the hot about the how very enable it to
be to become that fast private bus engine
00:26:13
to go to the moon at the same time
I thought. I can give back to.
00:26:21
The holidays can contribute to the peace
this is my lifelong dream the Japanese
00:26:27
billionaire will orbit the moon aboard the
company's big fell can rock it in 2023
00:26:33
well the stars were out in Hollywood last
night as they celebrated television's
00:26:37
biggest night the Emmy Awards a.p.
00:26:40
Entertainment editor Oscar
Wilde's Gabriel has
00:26:43
a wrap up of the key winners and losers
even after taking off the year the best
00:26:48
drama winner is Game of Thrones the series
has won another Emmy for Best Drama
00:26:53
picking up where it left off the year
before last the show was not made eligible
00:26:57
for last year's Emmys and it quickly
snatched back the mantle that was won by The
00:27:01
Handmaid's Tale Peter Dinklage picks up
his 3rd Emmy for the show on the comedy
00:27:06
side Amazons the marvelous Miss May's own
becomes the 1st streaming series to win
00:27:10
Top show honors over all the promise of
diversity winning the night ended up being
00:27:14
unfulfilled While the field of nominees was
diverse the list of winners not so much
00:27:20
Gabriel and you've been listening to
international edition you can find us at
00:27:24
v.o.a. News dot com or like
us on Facebook at v.o.a.
00:27:28
No thanks for joining us and thanks to our
director Patrice Martin and our engineer
00:27:33
Nash one color
00:27:33
a m Jim Birch held in Washington.
Thanks for listening. This
00:28:55
is the host of the straight talk Africa
on the next straight talk Africa the
00:29:00
African capacity building foundation the
Africa Union's specialized agency for
00:29:06
capacity development has coordinated
programs worth $700000000.00 since
00:29:12
1991 the African capacity building
foundation on the next street talk Africa in
00:29:19
one of the day that 830 u.t.c.
00:29:21
It right here on Africa.
00:29:33
Good evening everyone I mean on the do
welcome to health chat the beat and Melinda
00:29:38
Gates Foundation just released its 2018
goalkeepers report it is an initiative
00:29:44
launched in 2017 to track progress on
the sustainable development goals or as
00:29:51
a collection of 17 global goes said by the
United Nations Development Program to be
00:29:56
attended by the year 2030 according to
the United Nations the as. A universal
00:30:03
call to action to end poverty protect the
planet and ensure that all people enjoy
00:30:09
peace and prosperity among other things I
spoke to Melinda Gates co-founder of the
00:30:14
Bill and Melinda Gates Foundation and
asked her why it was important to publish
00:30:20
such a report many in the gates
00:30:22
a welcome to the Voice of America thank you
so much for joining us today thank you
00:30:26
I'm glad to be here the Bill and
Melinda Gates Foundation release
00:30:30
a report the Bill and Melinda
Gates 2018 goalkeeper's
00:30:35
a report that has just been released and
it's an initiative launched in 2017 to
00:30:41
track progress on the sustainable development
goals why was it important to publish
00:30:47
such
00:30:47
a report Well these goals that were set by
the member nations of the United Nations
00:30:53
really are a roadmap in
00:30:55
a blueprint for the world on if we make
these investments we can really make
00:31:00
progress in the world but we
felt it was important to publish
00:31:03
a report every year so that we
hold ourselves accountable as
00:31:07
a world to these goals and we can actually
measure year by year is the world making
00:31:13
progress so then what is the value added
of the report as the global community ends
00:31:18
to achieve the. Is it to measure essentially
how we making progress. Yes the
00:31:25
report helps us show are we making progress
and it also shines light on countries
00:31:31
that have made certain investments like
Brazil on nutrition or Vietnam on education
00:31:36
to say these are exemplars for the world
they've made incredible progress by the
00:31:41
very specific investments they've made and
these are road maps for other countries
00:31:46
to then follow Now this is the 2nd
publication of the report what did you find
00:31:52
significant this year what were some of the
significant finding one of the biggest
00:31:57
findings that we wanted to highlight that
I think we felt many people didn't know
00:32:02
was how young the population is an Africa
60 percent of the population is under the
00:32:08
age of $25.00 and so if the world makes
the right investments in health and
00:32:14
nutrition and education this is an
amazing generation that has unbelievable
00:32:21
ingenuity and if we make those investments
we give them leadership opportunities to
00:32:26
lift their societies and their countries
up and we want to make sure that message
00:32:30
gets out to the world let's make these
investments so that they can change their
00:32:35
whole country so then clearly investment
is very critical in terms of caring this
00:32:42
young population in the future for
economic growth what are your thoughts the
00:32:47
importance of young people in Africa's
development as we look to achieving the
00:32:52
sustainable development goals Well the
young people often are have the new ideas
00:32:58
they have vibrancy they're
energetic they see things in
00:33:02
a different way and if we make sure that
we give those leaders the opportunities
00:33:07
they will seize them and they will make
sure that things change in their countries
00:33:12
some perfect examples are some of the young
women I'm meeting in the health sector
00:33:17
they're saying we're realizing that if we
give access to contraceptives to young
00:33:22
women that is women who come in who. Are
161718 years old and we're not biased
00:33:28
about how we treat them oh my gosh they
can space the birth of their children
00:33:32
attend school and stay in university
we know that those investments and
00:33:37
contraceptives that when women have access
around the world it lifts up their whole
00:33:43
family and it lifts up whole economies and
so I am inspired by these young leaders
00:33:47
who say I'm going to work on taking bias
out of the health care system that's just
00:33:51
one example of many and you mentioned
contraceptive it's definitely part of the big
00:33:57
picture as we look at
Family Planning Why is that
00:34:00
a key aspect of development because if you
look at all the economies who have made
00:34:05
the transition from low to middle to
high income countries every one of them
00:34:11
allowed voluntary access to contraceptives
to women because we know if men and
00:34:17
women can spend
00:34:18
a slave burst their children and have them
if and when they want to have them there
00:34:23
are more opportunities than for those
children and for their families girls can
00:34:28
stay in school they can get their daughters
educated they can feed their children
00:34:32
once they are fed well fed nourished
educated those people create amazing
00:34:38
opportunities and new jobs in the economy
but you can't make that economic
00:34:42
transition without that is one of the
pillars that you have to put in place is
00:34:47
voluntary access to contraceptives it's not
the only but it's one of the key levers
00:34:52
what key states. When discussing
family planning to adolescent girls of
00:34:58
reproductive age versus
00:35:00
a woman what are some of the
strategies Well 1st you have to teach
00:35:04
a young woman about her body right about
how her reproductive organs work her
00:35:10
sexuality and then you have to tell her
about methods that might work for her as
00:35:14
a young teenage girl we know
that over the course of
00:35:17
a woman's life what she chooses will be
different at different times based on what
00:35:22
her needs are you also have to take
00:35:24
a. A lot of myths that they've heard and
to counsel them about side effects and
00:35:28
where to go if they're having problems all
of those are important steps but they're
00:35:33
all completely possible we've seen them
country after country and literally if you
00:35:38
start educating women and you give them
access to contraceptives it only takes one
00:35:41
generation till they take them up your
travel to Kenya earlier this year would you
00:35:46
please share with us that experience in
terms of talking to young women and girls
00:35:50
and addressing their needs Well I've
talked to young women and girls all over
00:35:55
Africa for many years and I would say in
Kenya one of the most exciting things I
00:35:59
saw this year were actually to be honest
the governors the young leaders who are in
00:36:03
power now in Kenya those governors are
interested in making the right investments
00:36:09
in their states in Kenya and that includes
investments in nutrition investments in
00:36:14
the doing the right things in clinics and
in immunizations but one of the most
00:36:18
exciting things that they told me is how
interested they are in contraceptives for
00:36:22
young girls and making sure they have
access that was something I had never heard
00:36:26
from the leadership in Kenya before then
when I also met with President Kenyatta
00:36:31
one of his 4 pillars that he's putting
in place is making sure that people have
00:36:36
great access to health
care so when you see
00:36:39
a government that is making investments in
health and making the right investments
00:36:44
that's the kind of leadership we want to
see all over the world and those are some
00:36:48
of the kinds of things that we highlight
in this goalkeeper's report you are
00:36:52
definitely
00:36:52
a firm believer in empowering women and
girls and we've been following your work
00:36:56
over the years when you look at where we
are now we just talked about access to
00:37:00
contraceptive and family planning what
do you see as some of our other priority
00:37:06
areas in developing countries especially
for going to countries as the world looks
00:37:11
to achieving the G.'s in 2030 sure in
countries the investments that need to be
00:37:17
made are in the health and education and
in the agricultural sector if you make
00:37:24
a. Vestments and all 3 of those areas
so in health making sure that number of
00:37:29
childhood deaths go down by vaccinating
children making sure people have access to
00:37:34
malaria bed net making sure they have
access to contraceptives good nutrition and
00:37:38
counseling around nutrition in
education we've made as a world
00:37:43
a commitment in the previous set of goals
to make sure kids had access to school
00:37:48
which they now do so in Rowland's there but
we needed that the quality of education
00:37:53
to come up much like Vietnam has done as
we highlight in the report and in the
00:37:57
agriculture sector we need to make
sure that we help countries move from
00:38:01
subsistence farming to making real
investment so that you can do larger scale
00:38:06
farming so they can feed
themselves and again we give
00:38:09
a great example of that from Ghana in the
report now let's look at poverty I mean
00:38:14
we've been talking about this to
some extent since 2000 more than
00:38:18
a 1000000000 people are lifted themselves
out of extreme poverty which is
00:38:23
a great achievement and this is mentioned
in the in the report however the report
00:38:27
also say
00:38:27
a dick kids of stunning progress in the
fight against poverty and disease may be on
00:38:32
the verge of starting to what do you
attribute this challenge. Well we wanted to
00:38:38
highlight what we're seeing So as you
said this incredible reduction in poverty
00:38:44
incredible but what we don't want the world
to assume is that it's inevitable it is
00:38:49
because of investments the world to made
systematically in human capital in health
00:38:55
in education in agriculture when those
systematic investments are made you see this
00:39:01
enormous reduction in poverty and life
gets better it improves for people around
00:39:05
the world but converse Leigh if you don't
make those investments if you don't
00:39:09
continue to make those investments
00:39:12
a lot of the gains that we've seen
can drop back particularly with
00:39:15
a growing population and so our message
is to the world is keep your foot on the
00:39:20
gas keep the accelerator going we need
to keep making these investments both we
00:39:25
need high income countries to make the
continued investments in things like the
00:39:29
Global Fund and we need low and middle
income countries to keep making the
00:39:33
investments in their own country and the
new measure measure with great data
00:39:37
because that's how we learn you talked about
investment the Bill and Melinda Gates
00:39:42
Foundation has invested more than
$15000000000.00 in projects relevant to Africa
00:39:47
Why is Africa such an important part of
your work we fundamentally believe as
00:39:52
a foundation and Bill and I that all lives
all lives have equal value no matter
00:39:57
where their lives on the planet yet when
you see some of the people who are in
00:40:01
extreme poverty or extreme situation where
many many infants are dying or mothers
00:40:07
are dying in childbirth you see
00:40:09
a lot of that predominantly
in countries in Africa and
00:40:13
a couple of states in northern India
and so we call out Africa and we make
00:40:18
substantial investments in Africa because
we think life can improve there in the
00:40:23
ways that it has in other places in the
world like South Korea that used to be
00:40:27
a low income country that no longer is
the other thing I want to say about our
00:40:31
investments while they look at
streaming a large $15000000000.00
00:40:35
a large number with you look at
what. We're trying to tackle as
00:40:39
a foundation it takes immense partnership
around the world many many many partners
00:40:45
doing the work on the ground in culturally
can textually sensitised ways and
00:40:51
governments governments Gaylene these
projects up so that everyone can have those
00:40:56
benefits so our foundation is what we call
00:40:59
a catalytic wedge we start getting those
things going we show Points of Light ways
00:41:04
of making change we take some risks but
ultimately it's the governments who scale
00:41:10
them up and that work is done in deep
partnership with many people around the globe
00:41:14
and what should we look forward to in terms
of future and vest and priorities Well
00:41:18
I think for us as
00:41:19
a foundation we will always be focused on
the things we're focused on now that is
00:41:24
health agriculture and we're doing
00:41:26
a bit of international education quality
international education around the world
00:41:30
what I think you can see for us
though while we've always had
00:41:33
a science and technology focus because Bill
and I believe fundamentally innovations
00:41:38
that change the world you've seen us move
more towards how do we deliver those
00:41:42
great advances in the last few years we've
gotten much more focused on delivery and
00:41:47
I think you're now also seeing us talking
00:41:48
a lot more about women's empowerment because
if we want to get enormous gains in
00:41:53
the world we need to pull all 3 levels the
science and technology get it delivered
00:41:58
and then we've got to get it in the hands
of women because women so often are at
00:42:03
the center of the family and are the ones
who are making those investments in their
00:42:07
family and so you'll see us doing even
more in women's empowerment because that
00:42:12
will lift up the whole world amending
that Gates and thank you so much for your
00:42:16
time today thank you Lenore. And that was
made in that Gates co-founder of the bill
00:42:22
and maybe in their Gates Foundation
Well it's now time to take
00:42:25
a short break and when
we come back we'll have
00:42:28
a live discussion on this unsafe surgeries
which is very critical in health care to
00:42:34
the rate but 1st a quick roundup of
the latest health news we've come
00:42:39
a lot Tom. The
00:42:46
latest child mortality report released
today shows the steady reduction in child
00:42:51
mortality in Nigeria continued in 2017
according to the new mortality estimates
00:42:56
released by Unicef the World Health
Organization the United Nations' population
00:43:01
division and the World Bank Group under 5
mortality rate in Nigeria reduced from
00:43:05
$103.00 in 2016 to $100.00
deaths per $1000.00 live births
00:43:12
Furthermore That's how mortality rates
fell from 33.5 to 32.9 the towel
00:43:19
mortality rate refers to the probability
of dying between birth and 28 days of age
00:43:24
expressed per 1000 live births the latest
levels and trends in child mortality
00:43:29
Report 2018 from Unicef and partners
in the un interagency group for child
00:43:34
mortality estimation shows the full scope
of child immortality rates across the
00:43:39
world from newborns to adolescents
Botswana leaders made
00:43:42
a call for urgent action on non-communicable
diseases or in C.D.'s in the African
00:43:47
region Monday at a landmark forum held.
The call comes as the world prepares for
00:43:52
a high level meeting on in C.D.'s at the
un General Assembly in New York which will
00:43:57
take place at the end of September 2018
in C.D.'s our group of chronic health
00:44:02
conditions that include cardiovascular
diseases cancers mental disorders and
00:44:07
diabetes they are now the leading killers
on the planet causing 7 in 10 best
00:44:11
globally the major causes or avoidable
risk factors like tobacco use harmful
00:44:16
alcohol consumption physical and. Witi and
healthy diets in Africa countries are
00:44:21
seeing
00:44:21
a rapid rise in cd cases some Bob boy is
struggling with this deadliest outbreak of
00:44:27
cholera in decades which has killed at
least 28 people an emergency has been the
00:44:32
clear and public gatherings banned in
the capital Harare an outbreak of the
00:44:36
waterborne disease was confirmed by authorities
in early September killing 5 people
00:44:41
and infecting dozens more within weeks
the death toll has risen to 28 with more
00:44:46
than 5000 reported cases of infection the
World Health Organization and the Red
00:44:51
Cross are ramping up their emergency
response national and local politicians are
00:44:55
trading blame over
00:44:56
a failure to maintain safe water supplies
and maintain infrastructure and that's
00:45:01
a wrap up of the latest news.
00:45:09
Welcome back for those of you joining us
late tonight we will be talking now in the
00:45:15
2nd half of the program we will turn to
sort of surgery every year millions of
00:45:22
people undergo surgical treatment and
while surgical procedures are intended to
00:45:27
save lives and save surgical care can
cause substantial harm the World Health
00:45:32
Organization says complications after
inpatient operations or current up to 25
00:45:38
percent of patients and motel u.t.
00:45:41
From general anesthesia alone is
reported to be as high as one in
00:45:47
150 in some parts of sub-Saharan
Africa well to discuss this we are
00:45:53
joined via phone from Baltimore
Maryland by Dr Jones around oh he's
00:46:00
a global surgery director j.p.
00:46:03
I go global health nonprofit organization
and Dr Varada Welcome to the show thank
00:46:10
you and thank you for having us on your
show fantastic We're also joined by Dr
00:46:14
Augustine O'Hara director of the
safe surgery pro. Graham with j.p.
00:46:19
Growth and Tanya That's ahead I thank you
so much for joining us I think you saw
00:46:24
the both of you out together joining us
from Baltimore and listen this surgery is
00:46:30
a topic that is so critical however
there seems not to have enough coverage
00:46:37
to my experience so let me start with you
Dr Varadero would you describe for us
00:46:45
the mood all burden of surgical
care to what extent is the problem.
00:46:53
It is
00:46:54
a very important issue and to start when
we talk about surgical care we need to
00:46:59
acknowledge that it's an absolutely
essential component of health care and as
00:47:05
you're alluding to I think it's that
important tend to be underestimated even
00:47:11
within the global health community to put
that in perspective you know globally
00:47:16
5000000000 people 5000000000 people lack
access to safe surgical care and if we
00:47:23
look at the You compared to other health
conditions for example more lives
00:47:30
are lost from from treatable
surgical conditions then from HIV
00:47:36
malaria and TB combined in factors 18000000
lives are lost due to lack of access to
00:47:42
safe surgical care that's 5 times
more than HIV malaria and TB combined
00:47:49
and he when we start looking at this would
you know underline if these numbers are
00:47:54
also. Equity gaps if we look
at you know globally that the
00:48:01
burden of this lack of access falls more
heavily on certain countries such as in
00:48:07
the Sub-Saharan Africa Southeast Asia and
parts of Latin American Caribbean and you
00:48:12
see this inequity even within countries
you looking at certain populations that
00:48:17
really lack. Access to it such as
rural versus urban populations and
00:48:24
you know that really you know
drives I drive that inequity.
00:48:32
Really I mean to think about it it's
incredible to know that so many people died
00:48:38
die of it but. You know we don't
talk much about. Dr Heather let me
00:48:45
ask you this Dr. Mention 5000000000 people
surgical care how does this translate
00:48:52
into that describes the situation in. So
00:49:00
the situation in Tanzania is. Just
like what Dr but I was just mentioned.
00:49:07
So in the regions where
we where. We have. Very
00:49:14
few specialists for providing such
00:49:18
a care so we went into regions in Tanzania
pulled together in my intellect sort of
00:49:24
times and here and in these regions we
have only one. Tragic or specialist
00:49:31
for population of about 3000000 people
and then also about 3 o.b.-g.y.n.
00:49:38
Is for police for the simple pollution and
no anesthesiologists so simply there are
00:49:42
no enough specialists to provide
services. And the number
00:49:49
of the number one procedure that is being
done in these facilities he's very
00:49:55
inception so. What we're doing now he's
to train one specialist to be able
00:50:02
to provide. Skilled face tragical care for
for the populations in these areas Wow
00:50:08
that's incredible doctor although when you
had to specific instance and you want
00:50:13
specialists for so many people would you
say that the fundamental issue here is.
00:50:20
Specialist lack of expertise when it comes
to you when you don't think I'm country
00:50:26
countries or does it depend on each country
or each region Well you know I do think
00:50:32
it depends on the different context
but we do know that the lack of.
00:50:40
The workforce lack of skills in the workforce
is an issue but it doesn't mean that
00:50:44
it has to be
00:50:45
a specialist and so that's what we're
focusing on in Tanzania Tanzania and also
00:50:50
many of our countries is building the
skills of these non-specialist And if these
00:50:55
non-specialists teams. Our we build the
their skills or knowledge to the point
00:51:01
where they are competent and confident and
able to provide the services then you're
00:51:06
you're building that that access the other
issue also is it is not just around
00:51:11
human resources but ensuring that the that
the facility the infrastructure is there
00:51:16
the. Equipment the supplies the oxygen water
new blood all those things kind of go
00:51:22
hand in hand so that the hell are you
mention that in one of these areas there is
00:51:29
no. Dentist does not exist
so how do you handle
00:51:33
a situation like this yes so we're building
the capacity over these teams to be
00:51:39
able to. Provide safe touch with his
fist by training them with hitting
00:51:46
them on leadership sheep skills that help
them to identify some challenges that
00:51:52
they face on the day to day.
Basis. Then put up action plans
00:51:58
so some of these challenges but we're
also pairing them to mentors from
00:52:04
a local refills or the hospital and these.
00:52:11
Mentors can help them. Work with them
to solve the challenges but also for
00:52:18
work with them to do cycle procedures
meaning that to build their confidence in
00:52:23
providing
00:52:24
a safe surgery and with less complications.
Now that the. Doctor had are
00:52:31
mentioned earlier that many many of the
patients who need so well the number one
00:52:38
surgery is being provided these
kids are in fiction so how
00:52:44
woman being affected by these
very lethal axes to the
00:52:51
surgery. I think great point because we
were talking about those numbers we also
00:52:58
see that there's
00:52:59
a. Gender gap as well and if we
look at globally you know which
00:53:06
if you timely access to the fake
severe infection can prevent
00:53:13
nearly $100000.00 maternal deaths each
year and reduce newborn deaths by 30 to 70
00:53:18
percent and so part of the approach is
that beyond just providing the routine
00:53:25
maternal
00:53:26
a newborn health services we want to
make sure that we're also including the
00:53:30
surgical component because without that
then you're not really going to have as
00:53:35
much of an impact on improving maternal
newborn health and not to have our interns
00:53:41
on yet then what are. The steps I know
you talked about capacity building
00:53:48
this is also a problem of
the health care system as
00:53:51
a whole so what what is being
done in that regard. So
00:53:59
at the missional level we are supporting
the government of Tanzania to. Develop
00:54:06
admission or we have supported them to
develop initial tragical of sitting in
00:54:11
a city a plan that he's like
00:54:13
a road map for strengthening
technical services to finances and
00:54:19
a few senses in the country in general
but then we're also working at
00:54:23
a facility level in these 2
regions where as I say we train
00:54:27
a fragile teams to empower them to be
able to talk the challenges but we also
00:54:33
giving them clinical skills. In the fiction
prevention skills so that the surgeries
00:54:39
they do have less complications and they
can provide more access to said Jerry to
00:54:45
the communities around them. Not the how
to access to safe surgery access to
00:54:51
Surgeon General. Just the problem in the
developing world in the developed world is
00:54:57
some people will say well argue that the
cost of surgery is a problem so if it is
00:55:03
a problem in countries where people have
the means to have surgeries What about in
00:55:08
the developing world in
00:55:10
a place like the un Sanny are the countries
what is your take on the cost of
00:55:14
surgery. And that's another other great
point and when we talk about access we can
00:55:19
talk about whether it's just the
physical location so distance to
00:55:25
a facility having the qualified provider
and the infrastructure as you mentioned
00:55:30
but also the cost and so that can be
00:55:33
a real barrier especially with you talking
about where the access is only in the
00:55:38
private sector so there's dots where we
really have this push for the universal
00:55:42
health coverage because you know if
you if it's too costly that we can
00:55:49
that it prevents that access and the the
choice for the family is to decide whether
00:55:54
either to forego. The services
or to go into extreme
00:56:01
debt so that is that is
00:56:04
a really high top priority for us is to
guarantee universal health coverage to so
00:56:10
that people don't need to make that
decision and that they don't have that they
00:56:13
aren't. But when debt go into poverty
just by having this basic service
00:56:21
and then quickly before we wrap it up of
her own. Well how would you make the case
00:56:27
for this surgery I mean when you look at
the Senate bill Development Goals and all
00:56:31
the issue on the agenda and even in general
when we want to advance global health
00:56:37
there's surgery again as I mentioned that
doesn't seem to get much attention how do
00:56:42
we make a case. We make a case by as
00:56:45
a party pointing out the the importance
of surgical care that is not
00:56:50
a luxury that it is
00:56:52
a absolutely essential and individual
component of health care and that by making
00:56:58
the investment actually you if you look at
the investments needed for safe surgery
00:57:03
that you have a return on that
investment and so it's actually
00:57:09
a wise investment for 4 countries and so
we we can look at from from that sample.
00:57:15
And as well as
00:57:16
a human rights standpoint so I think that's
where we need to really kind of drive
00:57:21
the message and to head out the final
was. About perhaps some positive
00:57:27
outcome you have since since you've been
working on this so we started to implement
00:57:34
these programs barely a v.c.r.
00:57:35
And already seen
00:57:37
a really really hard. Day's activities that
you're training has more on she went in
00:57:44
communications they've developed action
plans to solve many of the challenges they
00:57:49
face like the one to increase as you call
volumes in different cities we want to
00:57:54
reduce complication rate we want to use
waiting times for patients but they
00:58:01
also using digital surgical sufficiently
switches are simple tools. And safety
00:58:09
you know to communication is indispensable
to our identity and we have to leave it
00:58:12
there thank you so much Dr August you know
Helen and Dr John Barlow for joining us
00:58:16
today thank you very much thank you
and we also thank many in the gates
00:58:21
a co-founder of the Bill and Melinda Gates
foundation for talking to health chats
00:58:26
this thanks to all of you for joining
us and thanks to all our t.v.
00:58:29
It's
00:58:29
a caring health task I'm your host not
with you in Washington with producer. Tom
00:58:35
with the news and engineer afraid of until
next time take care be well and strive
00:58:41
to make every day
00:58:42
a healthy day. The
00:59:06
be. The best.
00:59:26
This is the way news I'm Tommy make me
rushes the fence ministry says hostile
00:59:31
actions by Israeli fighter jet pilots led
to Syrian air defense system shooting
00:59:36
down a Russian military reconnaissance
plane killing 15 people aboard now as e.p.
00:59:43
Correspondent Charles de la Desmond reports
experts will be looking to see there
00:59:46
has been
00:59:47
a current breakdown of communication between
Russia and Israel over the Syrian air
00:59:51
space Russian state television has quoted
00:59:53
a leading official saying Israel is fully
to blame for the deaths Moscow claims
00:59:58
Israel didn't warn it of its operation until
an minutes before the strike which did
01:00:02
not give the Russian planes
enough time to escape
01:00:05
a recovery operation is now underway in
the Mediterranean Sea to retrieve bodies
01:00:09
and fragments of the wreckage from the
l $120.00 AK crossed for several years
01:00:14
Israel and Russia have maintained
01:00:15
a special hotline to prevent that Ethel's
is them clashing in the skies over Syria
01:00:20
Israeli military officials have previously
praised its effectiveness I'm jealous of
01:00:24
it as my china is responding to u.s.
01:00:27
President Donald Trump's plans to impose
an additional $200000000000.00 worth of
01:00:31
tariffs on Chinese imports
we think. What the u.s.
01:00:36
Is doing right now on these economic madness
mats Harb on the president of European
01:00:41
Union Chamber of Commerce in China says
this is not going to help deal with the
01:00:45
problems the new duties which take effect
next Monday September 24th will begin at
01:00:50
10 percent then rise to 25 percent in
January of next year the terrorist will be
01:00:56
unposed on thousands of consumer goods
including electronics food tools and
01:01:01
housewares President Trump has ordered
the Justice Department to declassify
01:01:06
a trove of documents related to the
investigation into Russian election meddling
01:01:10
White House spokeswoman Sara sander says
the information to be made public includes
01:01:14
f.b.i. Surveillance warrants of
former Trump campaign advisors and
01:01:19
a high ranking official at the u.s.
01:01:21
Department of Justice this is viewing
news. Tens of thousands of North Koreans
01:01:27
should chanted unification and wait flowers
at their leader Kim Jong un and South
01:01:32
Korean president moon j.n.
01:01:34
In the parade through Pyongyang
this is as a to kick off
01:01:37
a somebody named rekindling stalled
nuclear diplomacy Reuters recently.
01:01:44
The leaders of North and South Korea kicked
off their latest summit on Tuesday this
01:01:48
time in Kenya greeted the South's new Jane
at the airport the 2 looking for more
01:01:55
familiar in their 3rd meeting with smiles
and hugs even took the time to shake
01:02:00
hands with North Korean civilians tens
of thousands of them showed up waving
01:02:04
flowers and chanting unification later
more of the same treatment from North
01:02:09
Koreans as Moon and Kim paraded around the
streets the big question at this summit
01:02:14
is whether or not Kim is serious about
denuclearization and it may set the stage
01:02:20
for a 2nd summit with u.s.
01:02:21
President Donald Trump Reuters Grace Lee
the Senate Judiciary Committee will host
01:02:26
a showdown next week between Supreme
Court nominee Brett Kavanaugh and the
01:02:30
psychology professor who accuses him of
sexually assaulting her when they were in
01:02:34
high school a.p.
01:02:35
Washington correspondent soccer Magon It's
01:02:38
a hearing the panel was hoping to avoid
But amid bipartisan demands it'll hear
01:02:42
Monday from both Cavanaugh and Christine
Blasi for listening to what each party has
01:02:48
to say but I believe our panel Democrat
Kaamelott Harris on c.b.s. This more.
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